| Kelly Shuttera, | |
|
100 N Main St, Chattahoochee, FL 32324-1107 | |
| (850) 663-7001 | |
| Not Available |
| Full Name | Kelly Shuttera |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 100 N Main St, Chattahoochee, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356088264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 110119463 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catalyst Counseling Associates Llc | 8628437001 | 3 |
| Entity Name | Florida Department Of Children And Families |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945118 PECOS PAC ID: 5092613570 Enrollment ID: O20031222000351 |
| Entity Name | Catalyst Counseling Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962049387 PECOS PAC ID: 8628437001 Enrollment ID: O20230703000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Shuttera, 1724 Gurtler Ct Apt 2, Orlando, FL 32804-6428 Ph: (310) 499-8697 | Kelly Shuttera, 100 N Main St, Chattahoochee, FL 32324-1107 Ph: (850) 663-7001 |
Mr. Michael Jon Peel, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Main St, Florida State Hospital, Chattahoochee, FL 32324 Phone: 850-663-7832 Fax: 850-663-7240 | |
Mr. Brian C Ham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 High St, Chattahoochee, FL 32324 Phone: 850-663-4643 Fax: 850-663-2350 | |
Mrs. Stephanie Mckinnie Beauchamp, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-663-7501 Fax: 850-669-7588 | |
Marites Orogo Nalupa, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-663-7001 | |
Stacy A Martin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-793-6863 | |
Mrs. Lauren Genna Wood, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-663-7001 | |
Jordan Deanna Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Main St, Chattahoochee, FL 32324 Phone: 850-663-1065 |