Krystal Nella Walters, AGACNP-BC in Westland, MI

Krystal Nella Walters, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Westland, Michigan. Her current practice location is 30805 Ann Arbor Trl, Westland, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 744-7084.

Krystal Nella Walters is licensed to practice in Michigan (license number 4704323078) 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 1972364586.

Contact Information

	Krystal Nella Walters, AGACNP-BC
	30805 Ann Arbor Trl, Westland, MI 48185-2482
	(734) 744-7084
	Not Available

Map and Direction

Provider's Profile

Full Name	Krystal Nella Walters
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	30805 Ann Arbor Trl, Westland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972364586
Provider Enumeration Date: 01/22/2024
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 2365984564
Enrollment ID: I20240603003597

Medical Identifiers

Medical identifiers for Krystal Nella Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972364586	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704323078 (Michigan)	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. Krystal Nella Walters allows following entities to bill medicare on her behalf.

Entity Name	Procura Health Solutions Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639923782 PECOS PAC ID: 3678915188 Enrollment ID: O20240530000215

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 Nella Walters 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 Nella Walters, AGACNP-BC 16938 White Haven Dr, Northville, MI 48168-2364 Ph: (734) 837-4741	Krystal Nella Walters, AGACNP-BC 30805 Ann Arbor Trl, Westland, MI 48185-2482 Ph: (734) 744-7084

Reviews and Comments

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Mrs. Katie Elizabeth Simkow, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8365 N Newburgh Rd, Westland, MI 48185 Phone: 734-416-2000
Mrs. Mahnaz S Mafee, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33330 Palmer Rd, Westland, MI 48186 Phone: 734-729-3080 Fax: 734-729-9435
Mrs. Kellie Rae Kroll, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8623 N Wayne Rd Ste 123, Westland, MI 48185 Phone: 734-367-0469

Krystal Nella Walters, AGACNP-BC - Medicare Nurse Practitioner in Westland, MI