MR. KELLY D PRUETT APN
NPI 1336217900
Nurse Practitioner in Bemidji, MN

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
1300 ANNE ST NW, BEMIDJI, MN 56601(218) 751-9746(605) 328-6512 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kelly D Pruett Apn NPPES

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

MR. KELLY D PRUETT APN (NPI 1336217900) is an individual nurse practitioner in Bemidji, Minnesota, licensed in Minnesota (7888) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1336217900
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. KELLY D PRUETTCredential: APN
Location Address1300 ANNE ST NWBemidji, MN 56601-5103
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Fax(605) 328-6512
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 1, 2006
Last NPPES UpdateJanuary 22, 2021
NPPES CertifiedJanuary 22, 2021
NPI 1336217900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in MN · 7888 Licensed in AR · A003595
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1300 ANNE ST NW, Bemidji, MN 56601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Kelly D Pruett Apn 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.

PECOS PAC ID4385817691
PECOS Enrollment IDI20210204000116
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
365 services195 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
226 services189 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
92 services91 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services58 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
57 services57 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Lakewood Health Center

Critical Access Hospitals · Baudette, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number241301
Location600 Main Ave SBaudette, MN 56623 · Lake Of Woods County
Emergency services

Rainy Lake Medical Center

Critical Access Hospitals · International Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241322
Location1400 Highway 71International Falls, MN 56649 · Koochiching County
Emergency services

Sanford Bagley Medical Center

Critical Access Hospitals · Bagley, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241328
Location203 4th Street NorthwestBagley, MN 56621 · Clearwater County
Emergency services

Sanford Thief River Falls Medical Center

Critical Access Hospitals · Thief River Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241381
Location3001 Sanford ParkwayThief River Falls, MN 56701 · Pennington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56601 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier18 claims18 services$7.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
1300 ANNE ST NW
BEMIDJI, MN 56601
Physician Assistant
1300 ANNE ST NW
BEMIDJI, MN 56601
Nurse Anesthetist, Certified Registered
1300 ANNE ST NW
BEMIDJI, MN 56601
Emergency Medicine
1300 ANNE ST NW, SANFORD BEMIDJI MEDICAL CENTER
BEMIDJI, MN 56601
Obstetrics & Gynecology
1300 ANNE ST NW
BEMIDJI, MN 56601
Nurse Anesthetist, Certified Registered
1300 ANNE ST NW
BEMIDJI, MN 56601
Obstetrics & Gynecology (Obstetrics)
1300 ANNE ST NW
BEMIDJI, MN 56601
Hospitalist
1300 ANNE ST NW
BEMIDJI, MN 56601

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 Kelly Pruett's NPI number?

The NPI number for Kelly Pruett is 1336217900. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Kelly Pruett located?

Kelly Pruett practices at 1300 Anne St NW, Bemidji, MN 56601. The listed phone number is (218) 751-9746.

What is Kelly Pruett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Pruett enrolled in Medicare?

Yes. Kelly Pruett 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.

What insurance does Kelly Pruett accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Kelly Pruett 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 Kelly Pruett affiliated with any hospitals?

According to CMS data, Kelly Pruett is affiliated with Sanford Bemidji Medical Center, Lakewood Health Center, Rainy Lake Medical Center, Sanford Bagley Medical Center and Sanford Thief River Falls Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Pruett was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.