Carole Lynn Shultis, FNP - Medicare Nurse Practitioner in Vienna, VA

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Carole Lynn Shultis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Vienna, Virginia. Her current practice location is 337 Maple Ave E, Vienna, Virginia. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Carole Lynn Shultis is licensed to practice in Virginia (license number 0024170855) 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 1396184198.

Contact Information

Carole Lynn Shultis, FNP
337 Maple Ave E,
Vienna, VA 22180
(866) 389-2727
Not Available

Map and Direction




Provider's Profile

Full NameCarole Lynn Shultis
GenderFemale
SpecialityNurse Practitioner - Family
Location337 Maple Ave E, Vienna, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396184198
  • Provider Enumeration Date: 06/14/2013
  • Last Update Date: 06/14/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5395988372
  • Enrollment ID: I20130822000067

Medical Identifiers

Medical identifiers for Carole Lynn Shultis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396184198NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024170855 (Virginia)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. Carole Lynn Shultis allows following entities to bill medicare on her behalf.
Entity NameUrology Associates Of Winchester Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275571705
PECOS PAC ID: 2264415074
Enrollment ID: O20040611000916
Entity NameMinuteclinic Diagnostic Of Virginia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417076829
PECOS PAC ID: 6709960891
Enrollment ID: O20080228000067
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140603000011
Entity NamePsychogeriatric Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588689483
PECOS PAC ID: 6002719226
Enrollment ID: O20150717001653

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. Carole Lynn Shultis 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
Carole Lynn Shultis, FNP
25 Dream Ln,
Stafford, VA 22556-6470

Ph: (703) 498-9000		Carole Lynn Shultis, FNP
337 Maple Ave E,
Vienna, VA 22180

Ph: (866) 389-2727

Reviews and Comments


Nurse Practitioner Nurses in Vienna, VA

Rebecca S. Browne, FNP
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Mrs. Peggy S Thurston, CPNP
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Phone: 571-665-6440    
Ms. Cathryn R Burgess, NP
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Rachel Palenski, FNP-C
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Phone: 703-462-8138    
Ivan Racadag, AGPCNP-BC
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Practice Location: 1604 Spring Hill Rd, Suite 450, Vienna, VA 22182
Phone: 571-599-5643    Fax: 703-270-4350

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.