Krista Marie Shanholtz, FNP, RN - Medicare Nurse Practitioner in Syracuse, NY

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Krista Marie Shanholtz, FNP, RN is a medicare enrolled "Nurse Practitioner" physician in Syracuse, New York. Her current practice location is 90 Presidential Plz, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 464-4357.

Krista Marie Shanholtz is licensed to practice in New York (license number 346664) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558978940.

Contact Information

Krista Marie Shanholtz, FNP, RN
90 Presidential Plz,
Syracuse, NY 13202-2240
(315) 464-4357
Not Available

Map and Direction




Physician's Profile

Full NameKrista Marie Shanholtz
GenderFemale
SpecialityNurse Practitioner
Location90 Presidential Plz, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558978940
  • Provider Enumeration Date: 09/29/2020
  • Last Update Date: 11/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3476965153
  • Enrollment ID: I20201222002233

Medical Identifiers

Medical identifiers for Krista Marie Shanholtz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558978940NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 346664 (New York)Secondary
363LF0000XNurse Practitioner - Family 346664 (New York)Secondary
363L00000XNurse Practitioner 346664 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Krista Marie Shanholtz allows following entities to bill medicare on her behalf.
Entity NamePediatric Service Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770539066
PECOS PAC ID: 9931007200
Enrollment ID: O20031223000483

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krista Marie Shanholtz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Krista Marie Shanholtz, FNP, RN
251 Salina Meadows Pkwy, Ste 100,
Syracuse, NY 13212-4516

Ph: (315) 464-2000		Krista Marie Shanholtz, FNP, RN
90 Presidential Plz,
Syracuse, NY 13202-2240

Ph: (315) 464-4357

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.