Carole Lynn Shultis, FNP in Vienna, VA - Medicare Nurse Practitioner

Carole Lynn Shultis, FNP is a medicare enrolled "Nurse Practitioner" in Vienna, Virginia. Her current practice location is 337 Maple Ave E, Vienna, Virginia. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Carole Lynn Shultis is licensed to practice in Virginia (license number 0024170855) 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 1396184198.

Contact Information

	Carole Lynn Shultis, FNP
	337 Maple Ave E, Vienna, VA 22180
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Carole Lynn Shultis
Gender	Female
Speciality	Nurse Practitioner
Location	337 Maple Ave E, Vienna, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396184198
Provider Enumeration Date: 06/14/2013
Last Update Date: 01/27/2025

Medicare PECOS Information:

PECOS PAC ID: 5395988372
Enrollment ID: I20130822000067

Medical Identifiers

Medical identifiers for Carole Lynn Shultis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396184198	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024170855 (Virginia)	Secondary
363L00000X	Nurse Practitioner	0024170855 (Virginia)	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. Carole Lynn Shultis allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Virginia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417076829 PECOS PAC ID: 6709960891 Enrollment ID: O20080228000067

Entity Name	Privia Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011

Entity Name	Psychogeriatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20150717001653

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. Carole Lynn Shultis 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
Carole Lynn Shultis, FNP 25 Dream Ln, Stafford, VA 22556-6470 Ph: (703) 498-9000	Carole Lynn Shultis, FNP 337 Maple Ave E, Vienna, VA 22180 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Vienna, VA

Rebecca S. Browne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Park St Se # 205300, Vienna, VA 22180 Phone: 703-255-9100 Fax: 703-255-3457
Mrs. Peggy S Thurston, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 Maple Ave W, 5, Vienna, VA 22180 Phone: 703-938-2244 Fax: 703-938-3669
Emily Janice Mastromatteo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 East St Se Ste 301, Vienna, VA 22180 Phone: 703-938-5555
Shawn David Rohan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8357 Leesburg Pike, Vienna, VA 22182 Phone: 571-665-6440
Kelly Faulkner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8133 Leesburg Pike Ste 600, Vienna, VA 22182 Phone: 855-479-4217 Fax: 888-557-9724
Ms. Cathryn R Burgess, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 380 Maple Ave W, Suite L-3, Vienna, VA 22180 Phone: 703-319-3200 Fax: 703-319-3200
Rachel Palenski, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8302 Old Courthouse Rd Ste C, Vienna, VA 22182 Phone: 703-462-8138

Carole Lynn Shultis, FNP - Medicare Nurse Practitioner in Vienna, VA