| Kimberly Shamakian, | |
|
3674 S Washington St, Grand Forks, ND 58201-5766 | |
| (701) 205-3000 | |
| Not Available |
| Full Name | Kimberly Shamakian |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 3674 S Washington St, Grand Forks, North Dakota |
| 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 |
|---|---|---|---|
| 1871325563 | NPI | - | NPPES |
| 1750968 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 466159 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norton Sound Regional Hospital | Nome, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peterson Medical Clinics Llc | 9335412220 | 68 |
| Peterson Medical Clinics Llc | 9335412220 | 68 |
| Peterson Medical Clinics Llc | 9335412220 | 68 |
| Peterson Medical Clinics Llc | 9335412220 | 68 |
| Entity Name | Norton Sound Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154358232 PECOS PAC ID: 7517858137 Enrollment ID: O20040323001076 |
| Entity Name | Norton Sound Health Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1225101041 PECOS PAC ID: 7517858137 Enrollment ID: O20080227000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Shamakian, Po Box 5210, Grand Forks, ND 58206-5210 Ph: () - | Kimberly Shamakian, 3674 S Washington St, Grand Forks, ND 58201-5766 Ph: (701) 205-3000 |
Ms. Estella Ann Boger, GNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Bethann Marie Nuelle, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4700 S Washington St, Grand Forks, ND 58201 Phone: 701-757-2559 | |
Kaitlyn Rose Vagle, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Ms. Mary Pat Holler-bibel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 718 Oak St, Grand Forks, ND 58201 Phone: 218-230-0070 Fax: 800-958-7702 | |
Kayla Clausen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5400 Fax: 701-780-6416 | |
Kelsey Vivatson, PMHNP-BC, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2534 17th Ave S Ste E, Grand Forks, ND 58201 Phone: 701-885-4551 Fax: 701-757-1351 | |
Laura Olson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 Fax: 701-780-6940 |