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CORALEE PRETTYMAN
NPI 1285567016
Nurse Practitioner - Psychiatric/Mental Health in Linn Creek, MO

Active since June 03, 2026PECOS Enrolled
204 SERENITY BAY DR, LINN CREEK, MO 65052(573) 480-8950 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coralee Prettyman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORALEE PRETTYMAN (NPI 1285567016) is an individual psychiatric/mental health provider in Linn Creek, Missouri, licensed in Missouri (2026024240) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1285567016
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCORALEE PRETTYMAN
Location Address204 SERENITY BAY DRLinn Creek, MO 65052-9663
Mailing Address204 Serenity Bay DrLinn Creek, MO 65052-9663
Phone(573) 480-8950
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJune 3, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1285567016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2026024240
204 SERENITY BAY DR, Linn Creek, MO 65052
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coralee Prettyman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113486853
PECOS Enrollment IDI20260826002309
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Coralee Prettyman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peterson Medical Clinics, LLC
710 mi
Multi-Specialty
3674 S WASHINGTON ST
Grand Forks, ND 58201
  • Reassigned Medicare billing, Alaska, Minnesota, Missouri and North Dakota enrollments
  • 70 clinicians in this Medicare group
NPI 1699295774 (701) 205-3000
Yukon Kuskokwim Health Corporation
3,211 mi
Health Service
10 MORGAN ROAD, ANIAK SUBREGIONAL CLINIC
Aniak, AK 99557
  • Reassigned Medicare billing, Texas enrollment
  • 29 clinicians in this Medicare group
NPI 1689857658 (907) 543-6000
Norton Sound Health Corporation
3,384 mi
Critical Access
1000 GREG KRUSCHEK AVE
Nome, AK 99762
  • Reassigned Medicare billing, Alaska enrollment
  • Also billed through NPI 1225101041 (Alaska)
  • 193 clinicians in this Medicare group
NPI 1154358232 (907) 443-3311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Coralee Prettyman's NPI number?

The NPI number for Coralee Prettyman is 1285567016. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Coralee Prettyman located?

Coralee Prettyman practices at 204 Serenity Bay Dr, Linn Creek, MO 65052. The listed phone number is (573) 480-8950.

What is Coralee Prettyman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Coralee Prettyman enrolled in Medicare?

Yes. Coralee Prettyman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Coralee Prettyman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Coralee Prettyman reassigns Medicare benefits to 3 organizations: Peterson Medical Clinics, LLC (Grand Forks, ND), Yukon Kuskokwim Health Corporation (Aniak, AK) and Norton Sound Health Corporation (Nome, AK). Each 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 Coralee Prettyman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Coralee Prettyman was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.