Krista Lynn Wilson, ARNP is a medicare enrolled "Nurse Practitioner" in Malvern, Iowa. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shenandoah Medical Center and her current practice location is
415 Main St, Malvern, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 624-9185.
Krista Lynn Wilson is licensed to practice in Iowa (license number A088603) 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 1225001464.
Provider's Profile
| Full Name | Krista Lynn Wilson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 22 Years |
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| Location | 415 Main St, Malvern, Iowa |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Krista Lynn Wilson graduated from nursing school in 2002
NPI Data:
- NPI Number: 1225001464
- Provider Enumeration Date: 02/08/2006
- Last Update Date: 07/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 9739123035
- Enrollment ID: I20100810001088
Medical Identifiers
Medical identifiers for Krista Lynn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225001464 | NPI | - | NPPES |
| 1225001464 | Medicaid | IA | |
| 47068731777 | Medicaid | NE | |
| 47068731712 | Medicaid | NE | |
| 470687317-16 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP2300X | Nurse Practitioner - Primary Care | A088603 (Iowa) | Secondary |
| 363L00000X | Nurse Practitioner | A088603 (Iowa) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 110991 (Nebraska) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Shenandoah Medical Center | 9436063237 | 35 |
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 Lynn Wilson allows following entities to bill medicare on her behalf.
| Entity Name | New Century Physicians Of Nebraska Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063411833
PECOS PAC ID: 3173429537
Enrollment ID: O20031208001061 |
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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. Krista Lynn Wilson 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 |
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Krista Lynn Wilson, ARNP
Po Box 3755,
Omaha, NE 68103-0755
Ph: (402) 354-2100 | Krista Lynn Wilson, ARNP
415 Main St,
Malvern, IA 51551-8152
Ph: (712) 624-9185 |
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