Krissa Leanne Hendricks Nordblad, DNP, APRN, FNP-C in Salt Lake City, UT

Krissa Leanne Hendricks Nordblad, DNP, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. Her current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 646-1104.

Krissa Leanne Hendricks Nordblad is licensed to practice in Utah (license number 10855266-4405) 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 1386374833.

Contact Information

	Krissa Leanne Hendricks Nordblad, DNP, APRN, FNP-C
	50 N Medical Dr, Salt Lake City, UT 84132-0001
	(801) 646-1104
	Not Available

Map and Direction

Provider's Profile

Full Name	Krissa Leanne Hendricks Nordblad
Gender	Female
Speciality	Nurse Practitioner - Family
Location	50 N Medical Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386374833
Provider Enumeration Date: 06/15/2022
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 2163865627
Enrollment ID: I20240212003003

Medical Identifiers

Medical identifiers for Krissa Leanne Hendricks Nordblad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386374833	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	10855266-3102 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	10855266-4405 (Utah)	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. Krissa Leanne Hendricks Nordblad allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Krissa Leanne Hendricks Nordblad 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
Krissa Leanne Hendricks Nordblad, DNP, APRN, FNP-C 542 E 1600 S, Bountiful, UT 84010-4016 Ph: (425) 368-8960	Krissa Leanne Hendricks Nordblad, DNP, APRN, FNP-C 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 646-1104

Reviews and Comments

Nurse Practitioner Nurses in Salt Lake City, UT

Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999
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Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166

Krissa Leanne Hendricks Nordblad, DNP, APRN, FNP-C - Medicare Nurse Practitioner in Salt Lake City, UT