Marcia S Kells, RN CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0790585 Issued in MN

Practice address

240 Willow St
Tyler, MN 56178-1166

Phone

(507) 247-5921

Fax

(507) 247-5184

NPI assigned

Feb 23, 2006

Last updated

Mar 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marcia.kells@avera.sdhealthlink.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Appleton Area Health

  dba Appleton Area Health Services

  • Critical Access Hospital
  • Appleton, MN
  • NPI 1578590626
  Medicare reassignment NPD
• Appleton Area Health

  • Rural Health Clinic/Center
  • Appleton, MN
  • NPI 1730126673
  Medicare reassignment NPD
• Avera Tyler

  dba Avera Medical Group Tyler

  • Rural Health Clinic/Center
  • Tyler, MN
  • NPI 1649223439
  Medicare reassignment NPD
• Avera Tyler

  dba Avera Tyler Hospital

  • Critical Access Hospital
  • Tyler, MN
  • NPI 1801840517
  Medicare reassignment NPD
• Affiliated Community Medical Centers, LTD

  • Multi-Specialty Clinic/Center
  • Willmar, MN
  • NPI 1952363699
  NPD
• Avera Tyler

  dba Avera Lake Benton Clinic

  • Rural Health Clinic/Center
  • Lake Benton, MN
  • NPI 1003869892
  NPD
• Avera Tyler

  dba Avera Medical Group Ivanhoe

  • Rural Health Clinic/Center
  • Ivanhoe, MN
  • NPI 1063949089

  Family

  NPD
• Carris Health LLC

  • Multi-Specialty Clinic/Center
  • Willmar, MN
  • NPI 1598236408
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1164498804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WILLOW ST",
            "city": "TYLER",
            "state": "MN",
            "postal_code": "561781166",
            "telephone_number": "507-247-5921",
            "fax_number": "507-247-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLOW ST",
            "city": "TYLER",
            "state": "MN",
            "postal_code": "561781166",
            "telephone_number": "507-247-5921",
            "fax_number": "507-247-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLS",
        "first_name": "MARCIA",
        "middle_name": "S",
        "credential": "RN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "0790585",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "R0790585",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "863387800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacklyn Rose Geiger, PT, DPT
• April Rose Hanson, PHARMD
• Isd 2902 RTR Public Schools
• Danaca Ann Janiszeski, D.C.
• Jill Marie Jay, FNP
• Richard L Klingler, MD
• Koster Pharmacy
• Lyon-Lincoln Electric Cooperative, Inc.
• Edward B Novak, MD
• Enrico Ocampo, M.D., FACP, FACE

• Family Nurse Practitioner in Tyler, MN
• Providers in Tyler, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.