Ms Chrissy Shupak, APRN FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Grapeland, Texas. Her current practice location is
205 Church St, Grapeland, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 228-3244.
Ms Chrissy Shupak is licensed to practice in Texas (license number 1090565) 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 1356060255.
Provider's Profile
| Full Name | Ms Chrissy Shupak |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 205 Church St, Grapeland, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1356060255
- Provider Enumeration Date: 08/24/2022
- Last Update Date: 06/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698151330
- Enrollment ID: I20221003002141
Medical Identifiers
Medical identifiers for Ms Chrissy Shupak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356060255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 1090565 (Texas) | 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. Ms Chrissy Shupak allows following entities to bill medicare on her behalf.
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567 |
|---|
| Entity Name | Aurora Concepts Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1750779542
PECOS PAC ID: 7618292376
Enrollment ID: O20150221000117 |
|---|
| Entity Name | Grapeland Emergent Care |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1437833738
PECOS PAC ID: 2860855715
Enrollment ID: O20230825001140 |
|---|
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. Ms Chrissy Shupak 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 |
|---|
Ms Chrissy Shupak, APRN FNP-BC
1887 Fm 231,
Lovelady, TX 75851-3408
Ph: (806) 543-5014 | Ms Chrissy Shupak, APRN FNP-BC
205 Church St,
Grapeland, TX 75844-2151
Ph: (936) 228-3244 |
Reviews and Comments