Kelly Mae Metz, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8677 Issued in MN

Practice address

49725 County 83
Staples, MN 56479-5280

Phone

(218) 894-1515

Fax

(218) 894-8403

NPI assigned

Oct 25, 2021

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

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

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakewood Health SystemGroup PAC ID 1052229671, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakewood Health System Hospital, Staples, MN, CCN 241329

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmetz625760@direct.ochin.org

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.

• Lakewood Health System

  • Rural Health Clinic/Center
  • Staples, MN
  • NPI 1841280823

  MN

  Medicare reassignment Care Compare group NPD
• Lakewood Health System

  • Community/Retail Pharmacy
  • Pillager, MN
  • NPI 1396519906
  Care Compare group NPD
• Lakewood Health System

  • Critical Access Hospital
  • Staples, MN
  • NPI 1295726362
  Care Compare group NPD (past)
• Lakewood Health System

  • Durable Medical Equipment & Medical Supplies
  • Staples, MN
  • NPI 1003807173
  Care Compare group
• Lakewood Health System

  • Rural Health Clinic/Center
  • Eagle Bend, MN
  • NPI 1093706160
  Care Compare group
• Lakewood Health System

  • Medicare Defined Swing Bed Hospital Unit
  • Staples, MN
  • NPI 1386635456
  Care Compare group
• Lakewood Health System

  • Home Health Agency
  • Staples, MN
  • NPI 1477544542
  Care Compare group
• Lakewood Health System

  • Community/Retail Pharmacy
  • Staples, MN
  • NPI 1508630112
  Care Compare group
• Lakewood Health System

  • Community/Retail Pharmacy
  • Staples, MN
  • NPI 1679347348
  Care Compare group
• Lakewood Health System

  • Nursing Facility/Intermediate Care Facility
  • Staples, MN
  • NPI 1699766733
  Care Compare group
• Lakewood Health System

  • Rural Health Clinic/Center
  • Pillager, MN
  • NPI 1811988983
  Care Compare group
• Lakewood Health System

  • Durable Medical Equipment & Medical Supplies
  • Long Prairie, MN
  • NPI 1891131058
  Care Compare group

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

• Lakewood Health System

  • Critical Access Hospital
  • Staples, MN
  • NPI 1295726362

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1992469191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 132ND ST SW",
            "city": "PILLAGER",
            "state": "MN",
            "postal_code": "564732283",
            "telephone_number": "218-831-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49725 COUNTY 83",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564795280",
            "telephone_number": "218-894-1515",
            "fax_number": "218-894-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZ",
        "first_name": "KELLY",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott F Maney, CRNA
• Jacqueline S Mattson, PA-C
• Julie Catherine Mayers Benson, M.D.
• Emily Clara McGovern, DO
• William Irvie Mennis, M.D.
• Amanda Mithun, LMFT
• Connie Kalal Moe, PSYD, LP
• Jordan Robert Moe, M.D.
• Adrianne Moen, M.D.
• Peter E Neifert, MD

• All providers in Staples, MN
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.