KELLY KORENE WHITE CNP
NPI 1417293572
Nurse Practitioner - Family in Zimmerman, MN

Active since December 18, 2012PECOS EnrolledAccepts Medicare Assignment
25945 GATEWAY DR, ZIMMERMAN, MN 55398(763) 856-6900 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Korene White Cnp NPPES

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

KELLY KORENE WHITE CNP (NPI 1417293572) is an individual family provider in Zimmerman, Minnesota, licensed in Minnesota (CNP 2080) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Fairview Northland Regional Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417293572
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY KORENE WHITECredential: CNP
Location Address25945 GATEWAY DRZimmerman, MN 55398-5300
Mailing Address25945 Gateway DrZimmerman, MN 55398-5300 · (763) 856-6900
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 18, 2012
Last NPPES UpdateJune 4, 2015
NPI 1417293572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · CNP 2080
Also ListedRegistered NurseTaxonomy 163W00000X · License R 147784-9 (MN)
25945 GATEWAY DR, Zimmerman, MN 55398

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

Kelly Korene White 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.

PECOS PAC ID7810139581
PECOS Enrollment IDI20130808000272
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 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.
29 services25 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
26 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
19 services17 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
12 services12 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Fairview Northland Regional Hospital

Acute Care Hospitals · Princeton, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240141
Location911 Northland DrivePrinceton, MN 55371 · Mille Lacs County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55398 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
25945 GATEWAY DR
ZIMMERMAN, MN 55398
Physician Assistant
25945 GATEWAY DR
ZIMMERMAN, MN 55398
Physical Therapist
25945 GATEWAY DR
ZIMMERMAN, MN 55398
Physician Assistant
25945 GATEWAY DR
ZIMMERMAN, MN 55398
Physical Therapist
25945 GATEWAY DR
ZIMMERMAN, MN 55398

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 White's NPI number?

The NPI number for Kelly White is 1417293572. It was assigned to this individual provider in the NPPES registry on December 18, 2012.

Where is Kelly White located?

Kelly White practices at 25945 Gateway Dr, Zimmerman, MN 55398. The listed phone number is (763) 856-6900.

What is Kelly White's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly White enrolled in Medicare?

Yes. Kelly White 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 White accept?

Health plans from Medica and Sanford Health Plan list Kelly White 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 White affiliated with any hospitals?

According to CMS data, Kelly White is affiliated with Fairview Northland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kelly White was last updated on June 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.