Katherine Rose Shelby, in San Diego, CA - Medicare Nurse Practitioner

Katherine Rose Shelby, is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Medical Group Of San Diego Inc, Scripps Health and her current practice location is 3811 Valley Centre Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 554-7272.

Katherine Rose Shelby is licensed to practice in California (license number 95025235) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073106225.

Contact Information

	Katherine Rose Shelby,
	3811 Valley Centre Dr, San Diego, CA 92130-3318
	(858) 554-7272
	Not Available

Map and Direction

Provider's Profile

Full Name	Katherine Rose Shelby
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	3811 Valley Centre Dr, San Diego, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katherine Rose Shelby graduated from nursing school in 2021

NPI Data:

NPI Number: 1073106225
Provider Enumeration Date: 02/18/2021
Last Update Date: 05/05/2024

Medicare PECOS Information:

PECOS PAC ID: 5890185490
Enrollment ID: I20231010003262

Medical Identifiers

Medical identifiers for Katherine Rose Shelby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073106225	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95025235 (California)	Primary
363LF0000X	Nurse Practitioner - Family	2337842 (Massachusetts)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Scripps Green Hospital	La jolla, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Minuteclinic Diagnostic Medical Group Of San Diego Inc	2567520414	40
Scripps Health	9234033853	1365

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. Katherine Rose Shelby allows following entities to bill medicare on her behalf.

Entity Name	Scripps Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822

Entity Name	Minuteclinic Diagnostic Medical Group Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289

Entity Name	Minuteclinic Diagnostic Medical Group Of Orange County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214

Entity Name	Minuteclinic Diagnostic Medical Group Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249

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. Katherine Rose Shelby 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 Address	Practice Location Address
Katherine Rose Shelby, 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 Ph: (858) 554-7272	Katherine Rose Shelby, 3811 Valley Centre Dr, San Diego, CA 92130-3318 Ph: (858) 554-7272

Reviews and Comments

Nurse Practitioner Nurses in San Diego, CA

Lorena Marie Fujii, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8910
Susan Kermoian Yaszay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Gateway Center Way, San Diego, CA 92102 Phone: 619-515-2300 Fax: 619-232-1360
Dale Michael Trujillo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798
Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Katherine Rose Shelby, - Medicare Nurse Practitioner in San Diego, CA