Shantell D Utley, NP-C in Ridgecrest, CA - Medicare Nurse Practitioner

Shantell D Utley, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Ridgecrest, California. Her current practice location is 1133 Chelsea St, Ridgecrest, California. You can reach out to her office (for appointments etc.) via phone at (760) 446-3246.

Shantell D Utley is licensed to practice in California (license number 95028210) 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 1689443459.

Contact Information

	Shantell D Utley, NP-C
	1133 Chelsea St, Ridgecrest, CA 93555-3208
	(760) 446-3246
	Not Available

Map and Direction

Provider's Profile

Full Name	Shantell D Utley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1133 Chelsea St, Ridgecrest, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689443459
Provider Enumeration Date: 12/21/2023
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 0143669697
Enrollment ID: I20240416003286

Medical Identifiers

Medical identifiers for Shantell D Utley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689443459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95028210 (California)	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. Shantell D Utley allows following entities to bill medicare on her behalf.

Entity Name	Omni Family Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700891660 PECOS PAC ID: 9234176363 Enrollment ID: O20050411000986

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. Shantell D Utley 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
Shantell D Utley, NP-C 1133 Chelsea St, Ridgecrest, CA 93555-3208 Ph: (760) 446-3246	Shantell D Utley, NP-C 1133 Chelsea St, Ridgecrest, CA 93555-3208 Ph: (760) 446-3246

Reviews and Comments

Nurse Practitioner Nurses in Ridgecrest, CA

Alessa Danyel Siler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3640 Fax: 760-499-7229
Jhoanne Dela Cruz Ave, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1133 Chelsea St, Ridgecrest, CA 93555 Phone: 866-707-6664
Emily Marlow, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1133 Chelsea St, Ridgecrest, CA 93555 Phone: 760-446-7978
Linda Rae Conway, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 841 N Downs St, Ste C, Ridgecrest, CA 93555 Phone: 951-234-4260
Todd Rowland, MSN, RN, FNP-C, CEN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870
Helaine M Boggs, R.N. NPF Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-446-8281 Fax: 760-446-8289
Savita Dongre, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 129 E Ridgecrest Blvd, Ridgecrest, CA 93555 Phone: 760-463-1613 Fax: 760-463-1614

Shantell D Utley, NP-C - Medicare Nurse Practitioner in Ridgecrest, CA