Kerri Shepheard Rundstrom, NP - Medicare Nurse Practitioner in Brookneal, VA

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Kerri Shepheard Rundstrom, NP is a medicare enrolled "Nurse Practitioner - Family" in Brookneal, Virginia. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centra Medical Group Llc, Pai Participant 1 Llc, Universal Health Corporation and her current practice location is 104 Carolina Ave, Brookneal, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 376-2325.

Kerri Shepheard Rundstrom is licensed to practice in Virginia (license number 0024183390) 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 1073260824.

Contact Information

Kerri Shepheard Rundstrom, NP
104 Carolina Ave,
Brookneal, VA 24528-2643
(434) 376-2325
Not Available

Map and Direction




Provider's Profile

Full NameKerri Shepheard Rundstrom
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location104 Carolina Ave, Brookneal, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kerri Shepheard Rundstrom graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1073260824
  • Provider Enumeration Date: 03/02/2022
  • Last Update Date: 03/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2365829157
  • Enrollment ID: I20220517001484

Medical Identifiers

Medical identifiers for Kerri Shepheard Rundstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073260824NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024183390 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centra Home HealthLynchburg, VAHome health agency
Centra Home HealthFarmville, VAHome health agency
Centra Health, IncLynchburg, VAHospital
Southside Community Hospital, IncFarmville, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centra Medical Group Llc4789606088709
Pai Participant 1 Llc8123351954174
Universal Health Corporation5597912626120

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. Kerri Shepheard Rundstrom allows following entities to bill medicare on her behalf.
Entity NameUniversal Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407117625
PECOS PAC ID: 5597912626
Enrollment ID: O20120824000538
Entity NamePai Participant 1 LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093371312
PECOS PAC ID: 8123351954
Enrollment ID: O20211208001934
Entity NameKlinic Medical PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740980630
PECOS PAC ID: 1456716976
Enrollment ID: O20231114001201

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. Kerri Shepheard Rundstrom 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
Kerri Shepheard Rundstrom, NP
140 Green Shutters Ln,
Charlotte Court House, VA 23923-3309

Ph: (434) 315-4282		Kerri Shepheard Rundstrom, NP
104 Carolina Ave,
Brookneal, VA 24528-2643

Ph: (434) 376-2325

Reviews and Comments


Nurse Practitioner Nurses in Brookneal, VA

Paulina Amoah,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 Carolina Ave, Brookneal, VA 24528
Phone: 434-376-2325    
Kimberly Diane Altizer, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 Carolina Ave, Brookneal, VA 24528
Phone: 434-376-2325    

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.