Kellie Ann Prentice (NPI# 1245635820, PAC ID# 1355663659) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1245635820 |
| PAC ID by PECOS | 1355663659 |
| Professional Enrollment ID | I20141121001801 |
| Full Name | Kellie Ann Prentice |
| Organization Legal Name | CARRIS HEALTH LLC |
| Address |
101 Willmar Ave Sw Willmar MN 56201-3556 |
| Phone Number | 3202354543 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012274228 |
| Number of Group Practice Members | 195 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240088 | CARRIS HEALTH LLC |
| Address | Phone | Organization |
|---|---|---|
| 101 Willmar Ave Sw, Willmar, MN 56201-3556 | 3202354543 | CARRIS HEALTH LLC |
| Organization Legal Name | CARRIS HEALTH LLC |
| Physicians | 164 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isabel K Wilson | Optometry | Carris Health LLC | 1100 E Broadway St, Redwood Falls, MN 56283-2247 |
| Kaylene N Hill | Certified Registered Nurse Anesthetist (crna) | Carris Health LLC | 301 Becker Ave Sw, Willmar, MN 56201-3302 |
| Amy K Miller | Psychologist, Clinical | Carris Health LLC | 520 S Sibley Ave, Litchfield, MN 55355-3030 |
| Cheryl D Huls | Nurse Practitioner | Carris Health LLC | 611 S Sibley Ave, Litchfield, MN 55355-3339 |
| Ryan C Hebrink | Physical Therapy | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Frances A Antkowiak | Nurse Practitioner | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Todd R Stoeberl | Qualified Audiologist | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Howard L Russell | Hematology/oncology | Carris Health LLC | 301 Becker Ave Sw, Willmar, MN 56201-3302 |
| Richard M Searl | Family Medicine | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Jonathan Aurelio Silva | Anesthesiology | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Street Address |
101 WILLMAR AVE SW |
| City | WILLMAR |
| State | MN |
| Zip | 56201-3556 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan C Hebrink | Physical Therapy | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Frances A Antkowiak | Nurse Practitioner | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Todd R Stoeberl | Qualified Audiologist | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Richard M Searl | Family Medicine | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Jonathan Aurelio Silva | Anesthesiology | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Cindy Firkins Smith | Dermatology | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Janae M Bell | Internal Medicine | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Lucy R Brink | Nurse Practitioner | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Brennen Gulden | Occupational Therapy | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Sarah Myers | Nurse Practitioner | Carris Health LLC | 101 Willmar Ave Sw, Willmar, MN 56201-3556 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn M Miller Stai | Chiropractic | 1804 Trott Ave Sw, Willmar, MN 56201-1614 | |
| Pamla Sandra Greiner | Nurse Practitioner | Community Health Service Inc. | 1804 Trott Ave Sw, Willmar, MN 56201-2743 |
| Ann Marie Day | Physician Assistant | Community Health Service Inc. | 1804 Trott Ave Sw, Willmar, MN 56201-2743 |
| Clarence W Walker | Clinical Social Worker | Knutson Counseling and Seminars, Inc. | 1809 Willmar Ave Sw, Willmar, MN 56201-2882 |
| Elouise A Knutson | Clinical Social Worker | Knutson Counseling and Seminars, Inc. | 1809 Willmar Ave Sw, Willmar, MN 56201-2882 |
| Brenda Wiese | Clinical Social Worker | 217 Industrial Dr Sw, Willmar, MN 56201-2989 | |
| Robert A Busby | Speech Language Pathologist | 930 Meadow Ln, Willmar, MN 56201-3049 | |
| Kaylene N Hill | Certified Registered Nurse Anesthetist (crna) | Carris Health LLC | 301 Becker Ave Sw, Willmar, MN 56201-3302 |
| Howard L Russell | Hematology/oncology | Carris Health LLC | 301 Becker Ave Sw, Willmar, MN 56201-3302 |
| James E Malkuch | Certified Registered Nurse Anesthetist (crna) | Carris Health LLC | 301 Becker Ave Sw, Willmar, MN 56201-3302 |
| Find all physicians in zip 56201 | |||
| City | WILLMAR |
| Zip Code | 56201 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WILLMAR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kellie Ann Prentice.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.