Christie Deloris Shelly, NP in Saint Croix Falls, WI

Christie Deloris Shelly, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Saint Croix Falls, Wisconsin. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. Croix Regional Medical Center and her current practice location is 235 E State St, Saint Croix Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 483-3261.

Christie Deloris Shelly is licensed to practice in Wisconsin (license number 12000-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093280349.

Contact Information

	Christie Deloris Shelly, NP
	235 E State St, Saint Croix Falls, WI 54024-4117
	(715) 483-3261
	(715) 483-0507

Map and Direction

Provider's Profile

Full Name	Christie Deloris Shelly
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	235 E State St, Saint Croix Falls, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Christie Deloris Shelly graduated from nursing school in 2018

NPI Data:

NPI Number: 1093280349
Provider Enumeration Date: 10/12/2018
Last Update Date: 06/23/2022

Medicare PECOS Information:

PECOS PAC ID: 9234483686
Enrollment ID: I20220720001348

Medical Identifiers

Medical identifiers for Christie Deloris Shelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093280349	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	AG10180092 (Oklahoma)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	12000-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Croix Regional Medical Ctr	Saint croix falls, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Croix Regional Medical Center	9335032184	164

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. Christie Deloris Shelly allows following entities to bill medicare on her behalf.

Entity Name	St. Croix Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217

Entity Name	Burnett Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356499784 PECOS PAC ID: 2163314931 Enrollment ID: O20040326000457

Entity Name	Burnett Medical Center Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1225191687 PECOS PAC ID: 2163314931 Enrollment ID: O20120110000801

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. Christie Deloris Shelly 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
Christie Deloris Shelly, NP 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3261	Christie Deloris Shelly, NP 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3261

Reviews and Comments

Nurse Practitioner Nurses in Saint Croix Falls, WI

Wanda F Brown, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507
Heather J Ash, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507
Andrew Johnson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3261 Fax: 715-483-0507
Jeremy Kwolek, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-407-4197
Victoria R Studtmann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507
Stephanie June Mysicka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507

Christie Deloris Shelly, NP - Medicare Nurse Practitioner in Saint Croix Falls, WI