Kara Kristine Reller, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2381 Issued in MN

Practice address

420 E Sarnia St
Winona, MN 55987-6365

Phone

(507) 474-7830

NPI assigned

Dec 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kara Kristine McDermott Former name

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winona Health ServicesGroup PAC ID 8527977420, 160 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winona Health Services Hospital, Winona, MN, CCN 240044

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Winona Health Services

  • General Acute Care Hospital
  • Winona, MN
  • NPI 1295789352
  Medicare reassignment Care Compare group NPD
• Winona Health Services

  dba Winona Health Services - Dialysis Unit

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winona, MN
  • NPI 1447334602
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Winona Health Services

  • General Acute Care Hospital
  • Winona, MN
  • NPI 1295789352
  Care Compare affiliation

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1396110516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W 5TH ST",
            "address_2": "APT 203",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559872323",
            "telephone_number": "972-523-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SARNIA ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876365",
            "telephone_number": "507-474-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELLER",
        "first_name": "KARA",
        "middle_name": "KRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "2381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "MCDERMOTT",
            "middle_name": "KRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dashawn Cole Reed
• Mackenzie Ann Reed
• Michelle Reed
• Amanda Claudia Rehiara
• Amber Reidt
• Tasha Remigio
• Amy Remoticado
• Charles Renner
• Patrick D. Reuter, BEHAVIORAL THERAPIST
• Claire Richards

• Medical Physician Assistant in Winona, MN
• Providers in Winona, MN by specialty
• Medical Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.