Nicole Chrisman, - Medicare Nurse Practitioner in Goodyear, AZ

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Nicole Chrisman, is a medicare enrolled "Nurse Practitioner" in Goodyear, Arizona. Her current practice location is 1325 N Litchfield Rd Ste 120, Goodyear, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 795-8700.

Nicole Chrisman is licensed to practice in Arizona (license number 300419) 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 1669198859.

Contact Information

Nicole Chrisman,
1325 N Litchfield Rd Ste 120,
Goodyear, AZ 85395-1214
(602) 795-8700
(602) 795-8701

Map and Direction




Provider's Profile

Full NameNicole Chrisman
GenderFemale
SpecialityNurse Practitioner
Location1325 N Litchfield Rd Ste 120, Goodyear, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669198859
  • Provider Enumeration Date: 10/18/2022
  • Last Update Date: 05/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7416327127
  • Enrollment ID: I20221221000613

Medical Identifiers

Medical identifiers for Nicole Chrisman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669198859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 10002261 (Oregon)Secondary
363L00000XNurse Practitioner 300419 (Arizona)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. Nicole Chrisman allows following entities to bill medicare on her behalf.
Entity NameGastroenterology Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639104136
PECOS PAC ID: 4789670506
Enrollment ID: O20040426000248

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. Nicole Chrisman 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 AddressPractice Location Address
Nicole Chrisman,
20280 N 59th Ave Ste 115-617,
Glendale, AZ 85308-6850

Ph: (602) 795-8710		Nicole Chrisman,
1325 N Litchfield Rd Ste 120,
Goodyear, AZ 85395-1214

Ph: (602) 795-8700

Reviews and Comments


Nurse Practitioner Nurses in Goodyear, AZ

Benilde Mwiseneza,
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Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395
Phone: 623-295-1190    
Miss Kathryn Leigh Miller, ACNPC-AG
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Phone: 623-512-4390    
Hussein Haidar,
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Amanda Jo Frary, APRN
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Shannon Torrez,
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Phone: 480-372-7703    
Ana Maria Fuentes, ACNP
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Practice Location: 14415 W Mcdowell Rd Ste D102, Goodyear, AZ 85395
Phone: 623-512-4190    Fax: 623-512-4194
Yvette Thorson, PA
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Practice Location: 750 N Estrella Pkwy Ste 60, Goodyear, AZ 85338
Phone: 623-321-5079    Fax: 623-321-5083

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.