Ms Eileen Shult, RN,GNP C | |
2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | |
(575) 532-5455 | |
(575) 532-5641 |
Full Name | Ms Eileen Shult |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 2450 S Telshor Blvd, Las Cruces, New Mexico |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578514790 | NPI | - | NPPES |
175602501 | Medicaid | TX | |
175602502 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 672791 (Texas) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | CNP-01549 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jonathan Ellen Md Pc | 2961780317 | 2 |
Entity Name | Jonathan Ellen Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851848360 PECOS PAC ID: 2961780317 Enrollment ID: O20161107000096 |
Mailing Address | Practice Location Address |
---|---|
Ms Eileen Shult, RN,GNP C Po Box 14232, Las Cruces, NM 88013-4232 Ph: (575) 532-5455 | Ms Eileen Shult, RN,GNP C 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 Ph: (575) 532-5455 |
Shelby Danae Whitlock-virden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5020 Meadow Cir, Las Cruces, NM 88007 Phone: 575-649-7113 | |
Dr. Rhaemi E Gaufin, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3961 E Lohman Ave Ste 33, Las Cruces, NM 88011 Phone: 575-556-0200 | |
Mrs. Heather A Lugo, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4391 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-522-2633 Fax: 575-522-2311 | |
Mrs. Sandra Avigail Angulo, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3751 Del Rey Blvd, Las Cruces, NM 88012 Phone: 575-382-3500 | |
Sylina Peterson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3964 Pacific Loop, Las Cruces, NM 88012 Phone: 575-635-1403 | |
Leandra Gabrielle Ogas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 S Valley Dr Ste B, Las Cruces, NM 88005 Phone: 575-526-6992 | |
Lauren Marie Mattiace, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Amador Ave, Las Cruces, NM 88005 Phone: 575-527-5482 |