Katherine Rystrom, FNP is a medicare enrolled "Nurse Practitioner - Family" in Stromsburg, Nebraska. Her current practice location is
1356 126th Rd, Stromsburg, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 764-2491.
Katherine Rystrom is licensed to practice in Nebraska (license number 111847) 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 1629451695.
Provider's Profile
Full Name | Katherine Rystrom |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1356 126th Rd, Stromsburg, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629451695
- Provider Enumeration Date: 07/08/2015
- Last Update Date: 07/08/2015
Medicare PECOS Information:
- PECOS PAC ID: 8224322250
- Enrollment ID: I20160812002015
Medical Identifiers
Medical identifiers for Katherine Rystrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629451695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 111847 (Nebraska) | 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. Katherine Rystrom allows following entities to bill medicare on her behalf.
Entity Name | David B Jameson |
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Entity Type | Practitioner - Family Practice |
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Entity Identifiers | NPI Number: 1083616502 PECOS PAC ID: 9335193986 Enrollment ID: I20050308000329 |
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Entity Name | Sanford Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265457964 PECOS PAC ID: 0244143824 Enrollment ID: O20130715000784 |
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Entity Name | Avenir Ventures Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578189957 PECOS PAC ID: 1153593017 Enrollment ID: O20201005000141 |
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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 Rystrom 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 Rystrom, FNP 1356 126th Rd, Stromsburg, NE 68666-6240 Ph: (402) 764-2491 | Katherine Rystrom, FNP 1356 126th Rd, Stromsburg, NE 68666-6240 Ph: (402) 764-2491 |
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