Mrs Shalese Marie Killian, FNP-C in Roosevelt, UT

Mrs Shalese Marie Killian, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Roosevelt, Utah. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Uintah Basin Medical Center and her current practice location is 250 W 300 N, Roosevelt, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 722-4691.

Mrs Shalese Marie Killian is licensed to practice in Utah (license number 9012696-4405) 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 1346875325.

Contact Information

	Mrs Shalese Marie Killian, FNP-C
	250 W 300 N, Roosevelt, UT 84066-2336
	(435) 722-4691
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shalese Marie Killian
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	250 W 300 N, Roosevelt, Utah
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 Shalese Marie Killian graduated from nursing school in 2019

NPI Data:

NPI Number: 1346875325
Provider Enumeration Date: 03/10/2020
Last Update Date: 03/21/2020

Medicare PECOS Information:

PECOS PAC ID: 4880025527
Enrollment ID: I20200512002781

Medical Identifiers

Medical identifiers for Mrs Shalese Marie Killian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346875325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	9012696-3102 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	9012696-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Canyon Home Care	Salt lake city, UT	Home health agency
Uintah Basin Medical Center	Roosevelt, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Uintah Basin Medical Center	0244131944	56

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 Shalese Marie Killian allows following entities to bill medicare on her behalf.

Entity Name	Uintah Basin Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871556217 PECOS PAC ID: 0244131944 Enrollment ID: O20040226000948

Entity Name	Northeastern Utah Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982664199 PECOS PAC ID: 2961496609 Enrollment ID: O20040414000471

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 Shalese Marie Killian 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 Shalese Marie Killian, FNP-C Po Box 1854, Roosevelt, UT 84066-1854 Ph: (435) 724-3545	Mrs Shalese Marie Killian, FNP-C 250 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-4691

Reviews and Comments

Nurse Practitioner Nurses in Roosevelt, UT

Lori A Teem, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N 75-3, Roosevelt, UT 84066 Phone: 435-722-3971 Fax: 435-722-6104
Tanya Sarah Boren, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691
Robert Nielson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691
Tracy Lee Winterton, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 Constitution Dr # 515-5, Roosevelt, UT 84066 Phone: 435-823-0217
Carol F Rasmussen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291
Mr. Samuel Mark Bertoch, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2750 North 2762 West, Roosevelt, UT 84066 Phone: 435-722-9250
Audrie Christine Wisell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691

Mrs Shalese Marie Killian, FNP-C - Medicare Nurse Practitioner in Roosevelt, UT