Krista Jane Hultgren, GNP in Crystal, MN - Medicare Nurse Practitioner

Krista Jane Hultgren, GNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Crystal, Minnesota. Her current practice location is 5200 Douglas Dr N, Crystal, Minnesota. You can reach out to her office (for appointments etc.) via phone at (888) 290-1209.

Krista Jane Hultgren is licensed to practice in Minnesota (license number 2737) 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 1699752535.

Contact Information

	Krista Jane Hultgren, GNP
	5200 Douglas Dr N, Crystal, MN 55429-3104
	(888) 290-1209
	(833) 973-3527

Map and Direction

Provider's Profile

Full Name	Krista Jane Hultgren
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	5200 Douglas Dr N, Crystal, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699752535
Provider Enumeration Date: 12/30/2005
Last Update Date: 07/23/2025

Medicare PECOS Information:

PECOS PAC ID: 4486553732
Enrollment ID: I20040107000066

Medical Identifiers

Medical identifiers for Krista Jane Hultgren such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699752535	NPI	-	NPPES
108443700	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2737 (Minnesota)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	03242493 (Minnesota)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	2737 (Minnesota)	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. Krista Jane Hultgren allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Beacon Therapy Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407084031 PECOS PAC ID: 4284887472 Enrollment ID: O20130122000412

Entity Name	Herself Health Mn Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326775420 PECOS PAC ID: 6507234820 Enrollment ID: O20221117002048

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. Krista Jane Hultgren 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
Krista Jane Hultgren, GNP 11401 Heather St Nw, Coon Rapids, MN 55433-3453 Ph: () -	Krista Jane Hultgren, GNP 5200 Douglas Dr N, Crystal, MN 55429-3104 Ph: (888) 290-1209

Reviews and Comments

Nurse Practitioner Nurses in Crystal, MN

Sarah Mary Johnson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183
Jessica Lynn Rusciano, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5109 36th Ave N, Crystal, MN 55422 Phone: 763-587-7999
Jennifer Nelson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183
Julitta Adu-gyamfi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6014 Lakeland Ave N, Crystal, MN 55428 Phone: 612-871-2312
Helen O Osonowo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5724 Bass Lake Rd, Crystal, MN 55429 Phone: 763-561-3434 Fax: 612-314-8840
Jill Titze, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183
Naomi Ongeri, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183

Krista Jane Hultgren, GNP - Medicare Nurse Practitioner in Crystal, MN