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

Mr. Kelly D Pruett, APN

Individual provider Nurse Practitioner · NPI 1336217900

Mr. Kelly D Pruett, APN is a Nurse Practitioner in Bemidji, Minnesota. Qualified in 2011, 15 years ago. Practices with Sanford Health of Northern Minnesota, a 349-clinician group and accepts Medicare assignment. Licensed in Arkansas and Minnesota.

Years since qualifying
15
Licensed in
AR, MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

1300 Anne St NW
Bemidji, MN 56601-5103
Phone: (218) 751-9746
Fax: (605) 328-6512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7888 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence A003595 (AR)

Record details

NPI number1336217900
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Sanford Health Of Northern Minnesota — 349 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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