Active NPI 1245635820 Individual Practitioner Female Practitioner

Kellie Ann Prentice , FNP-BC

Nurse Practitioner - Family • Willmar, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kellie Prentice, FNP-BC is a certified Nurse Practitioner - Family practicing in Willmar, MN. With approximately 12 years of clinical experience since completing medical education in 2014, Kellie Prentice delivers high-quality medical care to the local community at 101 WILLMAR AVE SW.

Kellie Prentice is affiliated with Centracare Clinic Southwest Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 Willmar Ave Sw

Willmar, MN 562013556

Telephone 3202315000

Associated Practice Facility / Clinic

🏢 Affiliated Community Medical Centers, Ltd Facility NPI 1952363699

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Willmar, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +2.1 yrs vs City Avg

City Avg: 9.9 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

24 Specialists

Practicing in Willmar, MN (3376 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

71.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prentice (12 Years) 12 Yrs

Willmar Specialty Average (9.9 Years) 9.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	156	$394.19	$105.54
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	239	91	$129.52	$28.01
83036 Hemoglobin A1C level	138	95	$68.00	$9.52
36415 Insertion of needle into vein for collection of blood sample	120	86	$20.00	$8.65
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	117	77	$198.96	$52.96
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$271.50	$74.67
82570 Creatinine level to test for kidney function or muscle injury	31	31	$38.97	$5.08
82043 Urine microalbumin (protein) level	31	31	$51.15	$5.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	19	$546.17	$146.20
G0008 Administration of influenza virus vaccine	19	18	$59.55	$31.34
99442 Telephone medical discussion with physician, 11-20 minutes	17	16	$287.19	$74.90
90653 Vaccine for influenza for injection into muscle	12	12	$119.25	$81.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	127	$370.32	$105.77
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	210	81	$120.40	$28.31
83036 Hemoglobin A1C level	111	80	$69.85	$9.52
36415 Insertion of needle into vein for collection of blood sample	101	74	$19.50	$8.40
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	91	57	$185.77	$53.67
99213 Established patient office or other outpatient visit, typically 15 minutes	59	53	$260.04	$74.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	35	$516.51	$148.03
82043 Urine microalbumin (protein) level	30	30	$51.90	$5.66
82570 Creatinine level to test for kidney function or muscle injury	30	30	$40.55	$5.08
G0008 Administration of influenza virus vaccine	23	23	$54.50	$29.91
95249 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin	14	12	$152.56	$60.99
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	14	14	$102.79	$74.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	108	$332.43	$107.12
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	149	51	$108.41	$29.05
83036 Hemoglobin A1C level	95	65	$72.25	$9.58
99213 Established patient office or other outpatient visit, typically 15 minutes	83	63	$232.86	$75.25
36415 Insertion of needle into vein for collection of blood sample	82	56	$20.14	$2.96
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	63	30	$180.50	$54.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	27	$441.85	$151.10
82570 Creatinine level to test for kidney function or muscle injury	20	20	$42.52	$5.12
82043 Urine microalbumin (protein) level	20	20	$54.35	$5.71
G0008 Administration of influenza virus vaccine	16	16	$53.23	$29.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	95	$285.98	$110.73
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	171	49	$93.19	$29.94
83036 Hemoglobin A1C level	121	79	$82.21	$9.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	120	57	$370.19	$154.33
36415 Insertion of needle into vein for collection of blood sample	111	72	$21.78	$3.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	32	25	$187.86	$55.99
82570 Creatinine level to test for kidney function or muscle injury	29	29	$48.42	$5.18
82043 Urine microalbumin (protein) level	29	29	$61.76	$5.78
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$199.25	$78.02
99441 Telephone medical discussion with physician, 5-10 minutes	19	16	$58.66	$48.13
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	15	14	$253.07	$160.36
99442 Telephone medical discussion with physician, 11-20 minutes	15	12	$94.35	$77.80
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$28.50	$20.53
G0008 Administration of influenza virus vaccine	12	12	$34.25	$17.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	102	$251.70	$92.96
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	137	42	$86.35	$30.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	114	70	$341.53	$124.23
83036 Hemoglobin A1C level	102	75	$86.60	$9.66
36415 Insertion of needle into vein for collection of blood sample	90	66	$21.80	$2.98
99442 Telephone medical discussion with physician, 11-20 minutes	57	46	$80.55	$64.30
82043 Urine microalbumin (protein) level	41	39	$64.00	$5.75
82570 Creatinine level to test for kidney function or muscle injury	41	39	$50.22	$5.16
99441 Telephone medical discussion with physician, 5-10 minutes	30	28	$48.55	$38.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	23	$50.77	$20.01
84460 Liver enzyme (sgpt), level	22	22	$28.05	$5.26
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	18	17	$234.30	$154.29
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	17	13	$194.35	$56.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	291	129	$222.35	$92.17
83036 Hemoglobin A1C level	127	83	$86.60	$10.57
36415 Insertion of needle into vein for collection of blood sample	120	82	$16.63	$2.94
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	64	29	$86.35	$30.21
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	60	45	$53.92	$19.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	43	$308.50	$121.89
82043 Urine microalbumin (protein) level	43	42	$64.00	$6.29
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	31	23	$234.30	$154.09
82570 Creatinine level to test for kidney function or muscle injury	29	28	$50.22	$5.63
84460 Liver enzyme (sgpt), level	24	24	$28.05	$5.77
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$146.88	$62.93
82565 Blood creatinine level	13	13	$37.30	$5.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	112	$217.75	$90.12
83036 Hemoglobin A1C level	115	80	$86.60	$11.75
36415 Insertion of needle into vein for collection of blood sample	83	62	$3.45	$2.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	62	43	$57.05	$18.35
82043 Urine microalbumin (protein) level	49	48	$64.00	$7.00
99213 Established patient office or other outpatient visit, typically 15 minutes	37	30	$137.30	$61.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	28	$314.15	$121.36
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	15	13	$234.30	$154.87
84460 Liver enzyme (sgpt), level	12	12	$28.05	$6.41
82565 Blood creatinine level	11	11	$37.30	$6.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	81	$211.40	$89.06
83036 Hemoglobin A1C level	92	69	$84.05	$12.88
99213 Established patient office or other outpatient visit, typically 15 minutes	90	72	$133.30	$61.11
36415 Insertion of needle into vein for collection of blood sample	71	53	$3.00	$2.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	67	48	$55.35	$17.12
82043 Urine microalbumin (protein) level	32	32	$62.10	$7.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$305.00	$116.03
84460 Liver enzyme (sgpt), level	12	12	$27.20	$5.01

Medical Specialties & State Licenses

CMS Verified: 2023-03-30

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License MN R132677-0

Definition to come...

Hospital & Practice Group Affiliations

Centracare Clinic Southwest Llc

1604 1st St S, Willmar, MN 562014243

Phone: 3202315000

Centracare Clinic Southwest Llc

600 Peterson Pkwy, New London, MN 562737823

Phone: 3203542222

Centracare Clinic Southwest Llc

101 Willmar Ave Sw, Willmar, MN 562013556

Phone: 3202315000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Ryan Hebrink , PT

Physical Therapist

NPI 1003077439

Physical Therapist

Amber Johnson , WHNP

Nurse Practitioner

NPI 1003459629

Women's Health Nurse Practitioner

Frances Antkowiak , APNP

Nurse Practitioner

NPI 1003837196

Advanced Practice Nurse Prescriber

Dr. Patricia Daquila , MD

Internal Medicine

NPI 1003863473

Doctor of Medicine (M.D.)

Dr. Todd Stoeberl , AuD

Audiologist

NPI 1013087030

Doctor of Audiology

Dr. Michael Hodapp , MD

Pediatrics

NPI 1013983337

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 25, 2014

Registered at 101 WILLMAR AVE SW, WILLMAR, MN 562013556 (Tel: 3202315000)

📍

Updated Business Mailing Address October 25, 2014

Registered at 101 WILLMAR AVE SW, WILLMAR, MN 562013556

👤

Provider Name / Credentials Updated October 25, 2014

Recorded as KELLIE PRENTICE, FNP - BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2014

Nurse Practitioner (License #R132677-0 in MN)

🟢

Initial NPI Registration & Enumeration October 25, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245635820

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 25, 2014

Last Update: March 30, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

101 Willmar Ave Sw

Willmar, MN 562013556

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.