Individual provider

Kelly Pruett, APN

Nurse Practitioner Medicare enrolled

Kelly Pruett, APN is a Nurse Practitioner in Bemidji, MN, registered under NPI 1336217900.

Getting there

The practice address on file is 1300 ANNE ST NW, Bemidji, MN 56601. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1300 ANNE ST NW, Bemidji, MN 56601 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
7888 MN Nurse Practitioner primary
A003595 AR Nurse Practitioner

Licences are recorded in 2 states: MN, AR. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
4385817691
Enrollment ID
I20210204000116

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Arkansas and Minnesota. The practice address on file is in Bemidji, MN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AR Arkansas
Licence
A003595
Specialty
Nurse Practitioner
Verify with the AR board →
MN Minnesota practice address
Licence
7888
Specialty
Nurse Practitioner
Verify with the MN board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Nurse Practitioner covers

(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. NUCC Health Care Provider Taxonomy, code 363L00000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363L00000X Nurse Practitioner 7888 MN primary
363L00000X Nurse Practitioner A003595 AR

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1336217900 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 1, 2006
Last updatedJan 22, 2021
StatusActive
Sole proprietorNo
CredentialAPN
Practice address 1300 ANNE ST NW
Bemidji, MN 56601
(218) 751-9746
Fax (605) 328-6512
Mailing address PO BOX 5074
Sioux Falls, SD 57117
The last update on file is Jan 22, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1336217900 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 3 6 2 1 7 9 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 6 6 4 1 5 9 0

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1336217900?
NPI 1336217900 is the National Provider Identifier assigned to Kelly Pruett, APN in Bemidji, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Nurse Practitioner cover?
(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…
How do I contact Kelly Pruett, APN?
The phone number on file with NPPES is (218) 751-9746, last updated Jan 22, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kelly Pruett, APN accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1336217900 a valid number?
Yes. 1336217900 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.