Krista Fuqua, - Medicare Nurse Practitioner in Grants Pass, OR

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Krista Fuqua, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grants Pass, Oregon. Her current practice location is 1585 Nw Washington Blvd, Grants Pass, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 474-5511.

Krista Fuqua is licensed to practice in Oregon (license number 201606762NP-PP) 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 1013347582.

Contact Information

Krista Fuqua,
1585 Nw Washington Blvd,
Grants Pass, OR 97526-1049
(541) 474-5511
Not Available

Map and Direction




Provider's Profile

Full NameKrista Fuqua
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1585 Nw Washington Blvd, Grants Pass, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013347582
  • Provider Enumeration Date: 11/20/2013
  • Last Update Date: 08/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729201462
  • Enrollment ID: I20161102000197

Medical Identifiers

Medical identifiers for Krista Fuqua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013347582NPI-NPPES
718569OtherTXLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 201606762NP-PP (Oregon)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. Krista Fuqua allows following entities to bill medicare on her behalf.
Entity NameLutheran Community Services Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326056433
PECOS PAC ID: 1254237522
Enrollment ID: O20031210000871
Entity NameFaspsych Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831682111
PECOS PAC ID: 2860818929
Enrollment ID: O20201015001355

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. Krista Fuqua 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
Krista Fuqua,
Po Box 99371,
Fort Worth, TX 76199-0371

Ph: (682) 885-1855		Krista Fuqua,
1585 Nw Washington Blvd,
Grants Pass, OR 97526-1049

Ph: (541) 474-5511

Reviews and Comments


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Deborah Lynn Rossel, NP
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Laura Lynn Johnson, FNP
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Mona Kaahu, PMHNP
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Phone: 541-471-3455    Fax: 541-471-9242
Ms. Charlane A Frazier, WHCNP
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Practice Location: 160 Nw Franklin Blvd, Grants Pass, OR 97526
Phone: 541-474-2784    Fax: 541-474-0638

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.