Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kellie Ann Prentice, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1245635820

Kellie Ann Prentice, FNP-BC is a Nurse Practitioner in Willmar, Minnesota. Qualified in 2014, 12 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2014
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

101 Willmar Ave SW
Willmar, MN 56201-3556
Phone: (320) 231-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R132677-0 (MN)

Record details

NPI number1245635820
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 25, 2014
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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