KALIE R DRAZENOVICH CNP
NPI 1063010304
Nurse Practitioner - Family in Grand Rapids, MN
About Kalie R Drazenovich Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALIE R DRAZENOVICH CNP (NPI 1063010304) is an individual family provider in Grand Rapids, Minnesota, licensed in Minnesota (7673) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Grand Itasca Clinic And Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kalie R Drazenovich Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kalie Drazenovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 555 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grand Itasca Clinic And Hospital
Acute Care Hospitals · Grand Rapids, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55744 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kalie Drazenovich's NPI number?
The NPI number for Kalie Drazenovich is 1063010304. It was assigned to this individual provider in the NPPES registry on October 9, 2020.
Where is Kalie Drazenovich located?
Kalie Drazenovich practices at 1601 Golf Course Rd, Grand Rapids, MN 55744. The listed phone number is (612) 244-5325.
What is Kalie Drazenovich's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kalie Drazenovich enrolled in Medicare?
Yes. Kalie Drazenovich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kalie Drazenovich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalie Drazenovich reassigns Medicare benefits to Grand Itasca Clinic And Hospital (Grand Rapids, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kalie Drazenovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kalie Drazenovich accept?
Health plans from Sanford Health Plan list Kalie Drazenovich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kalie Drazenovich affiliated with any hospitals?
According to CMS data, Kalie Drazenovich is affiliated with Grand Itasca Clinic And Hospital.
When was this NPI record last updated?
The NPPES record for Kalie Drazenovich was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kalie R Drazenovich, CNP · NPI 1063010304
Family physician in Grand Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since October 9, 2020.
## Identity
- **NPI:** 1063010304 (Entity type: Individual)
- **Enumerated:** October 9, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7673 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1601 GOLF COURSE RD, Grand Rapids, MN 55744-8648
- **Phone:** (612) 244-5325
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Grand Itasca Clinic And Hospital (NPI 1669426631, Grand Rapids, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063010304) · Data from the CMS NPPES public registry.