Krystal Marie Shotliff, FNP in Pueblo, CO - Medicare Nurse Practitioner

Krystal Marie Shotliff, FNP is a medicare enrolled "Nurse Practitioner - Family" in Pueblo, Colorado. Her current practice location is 201 Lamkin St. Unit 101, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 543-6633.

Krystal Marie Shotliff is licensed to practice in Colorado (license number 0998109) 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 1063138162.

Contact Information

	Krystal Marie Shotliff, FNP
	201 Lamkin St. Unit 101, Pueblo, CO 81003-8100
	(719) 543-6633
	(719) 543-6655

Map and Direction

Provider's Profile

Full Name	Krystal Marie Shotliff
Gender	Female
Speciality	Nurse Practitioner - Family
Location	201 Lamkin St. Unit 101, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063138162
Provider Enumeration Date: 10/19/2022
Last Update Date: 01/23/2023

Medicare PECOS Information:

PECOS PAC ID: 2961876255
Enrollment ID: I20230328003108

Medical Identifiers

Medical identifiers for Krystal Marie Shotliff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063138162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0998109 (Colorado)	Primary
363L00000X	Nurse Practitioner	0998109 (Colorado)	Secondary

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. Krystal Marie Shotliff allows following entities to bill medicare on her behalf.

Entity Name	Foot And Ankle Specialists Of Colorado, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215321856 PECOS PAC ID: 2961722426 Enrollment ID: O20150522001965

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 Marie Shotliff 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 Marie Shotliff, FNP 401 N 3rd St, Canon City, CO 81212-3270 Ph: (719) 792-9192	Krystal Marie Shotliff, FNP 201 Lamkin St. Unit 101, Pueblo, CO 81003-8100 Ph: (719) 543-6633

Reviews and Comments

Nurse Practitioner Nurses in Pueblo, CO

Paula Jiron-finn, ACNP/FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E Riverwalk Unit 200, Pueblo, CO 81003 Phone: 719-543-8346 Fax: 719-545-1829
Brian C White, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 226 1/2 S Union Ave Unit 205, Pueblo, CO 81003 Phone: 719-225-0637
Monica A Flynn, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Montebello Rd, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0110
Coral Breanne Martinez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 N Grand Ave Ste 150, Pueblo, CO 81003 Phone: 719-595-7680
Alexandria Brook Davis-mitchell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41 Montebello Rd Ste 116, Pueblo, CO 81001 Phone: 719-423-1500
Lynne M Evetts, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340
Phebe Golden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-562-2900

Krystal Marie Shotliff, FNP - Medicare Nurse Practitioner in Pueblo, CO