Mrs Klarisa Nicole Stoudemire, ARNP in Louisville, KY

Mrs Klarisa Nicole Stoudemire, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Norton Hospitals Inc and her current practice location is 3015 Wilson Ave, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 774-4401.

Mrs Klarisa Nicole Stoudemire is licensed to practice in Kentucky (license number 3006498) 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 1750619995.

Contact Information

	Mrs Klarisa Nicole Stoudemire, ARNP
	3015 Wilson Ave, Louisville, KY 40211-1969
	(502) 774-4401
	(502) 772-4783

Map and Direction

Provider's Profile

Full Name	Mrs Klarisa Nicole Stoudemire
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	3015 Wilson Ave, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Klarisa Nicole Stoudemire graduated from nursing school in 2009

NPI Data:

NPI Number: 1750619995
Provider Enumeration Date: 11/30/2009
Last Update Date: 01/22/2021

Medicare PECOS Information:

PECOS PAC ID: 6103095492
Enrollment ID: I20110802000654

Medical Identifiers

Medical identifiers for Mrs Klarisa Nicole Stoudemire such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750619995	NPI	-	NPPES
229581	Other	KY	SIHO
50132455	Other	KY	PASSPORT
300007238	Medicaid	IN
7100172130	Medicaid	KY
000001092683	Other	KY	ANTHEM
K008131	Other	KY	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3006498 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Norton Hospitals, Inc	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Norton Hospitals Inc	9830001528	102

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. Mrs Klarisa Nicole Stoudemire allows following entities to bill medicare on her behalf.

Entity Name	Norton Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073568879 PECOS PAC ID: 9830001528 Enrollment ID: O20031125000524

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. Mrs Klarisa Nicole Stoudemire 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
Mrs Klarisa Nicole Stoudemire, ARNP Po Box 776347, Chicago, IL 60677-6347 Ph: (502) 588-9490	Mrs Klarisa Nicole Stoudemire, ARNP 3015 Wilson Ave, Louisville, KY 40211-1969 Ph: (502) 774-4401

Reviews and Comments

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Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Mrs Klarisa Nicole Stoudemire, ARNP - Medicare Nurse Practitioner in Louisville, KY