Krystal Jo Etters, RN is a medicare enrolled "Nurse Practitioner - Primary Care" in Roseville, Ohio. Her current practice location is
4690 Butler Rd, Roseville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 252-1934.
Krystal Jo Etters is licensed to practice in Ohio (license number APRN.CNP.0029903) 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 1780924217.
Provider's Profile
Full Name | Krystal Jo Etters |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 4690 Butler Rd, Roseville, Ohio |
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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: 1780924217
- Provider Enumeration Date: 02/20/2013
- Last Update Date: 10/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042651119
- Enrollment ID: I20240508000085
Medical Identifiers
Medical identifiers for Krystal Jo Etters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780924217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN.374253 (Ohio) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.0029903 (Ohio) | Primary |
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. Krystal Jo Etters 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 |
Krystal Jo Etters, RN 420 Perine Rd, Zanesville, OH 43701-7641 Ph: () - | Krystal Jo Etters, RN 4690 Butler Rd, Roseville, OH 43777-9719 Ph: (740) 252-1934 |
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