Nicole Christine Kershaw, APRN is a medicare enrolled "Nurse Practitioner" in Pine Bluffs, Wyoming. Her current practice location is
117 E 4th St, Pine Bluffs, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 245-3666.
Nicole Christine Kershaw is licensed to practice in Nebraska (license number 115038) 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 1306627500.
Provider's Profile
| Full Name | Nicole Christine Kershaw |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 117 E 4th St, Pine Bluffs, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306627500
- Provider Enumeration Date: 10/12/2023
- Last Update Date: 10/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729437330
- Enrollment ID: I20231207003335
Medical Identifiers
Medical identifiers for Nicole Christine Kershaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306627500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 115038 (Nebraska) | 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 Christine Kershaw allows following entities to bill medicare on her behalf.
| Entity Name | Kimball County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326027160
PECOS PAC ID: 5799751004
Enrollment ID: O20040908000971 |
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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 Christine Kershaw 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 |
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Nicole Christine Kershaw, APRN
505 S Burg St,
Kimball, NE 69145-1313
Ph: (308) 235-1966 | Nicole Christine Kershaw, APRN
117 E 4th St,
Pine Bluffs, WY 82082-5000
Ph: (307) 245-3666 |
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