Kristel Kishbaugh, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Boulder, Montana. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
207 Edgerton St, Boulder, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 438-6710.
Kristel Kishbaugh is licensed to practice in Montana (license number 196230) 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 1699409995.
Provider's Profile
| Full Name | Kristel Kishbaugh |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 207 Edgerton St, Boulder, Montana |
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| 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:
- Kristel Kishbaugh graduated from nursing school in 2022
NPI Data:
- NPI Number: 1699409995
- Provider Enumeration Date: 07/12/2022
- Last Update Date: 07/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416313572
- Enrollment ID: I20230515002476
Medical Identifiers
Medical identifiers for Kristel Kishbaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699409995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 196230 (Montana) | 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. Kristel Kishbaugh allows following entities to bill medicare on her behalf.
| Entity Name | Western Montana Mental Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912079328 PECOS PAC ID: 6507764453 Enrollment ID: O20031230000190 |
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| Entity Name | Mental Health Connections Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639880487 PECOS PAC ID: 7618338948 Enrollment ID: O20230802001483 |
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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. Kristel Kishbaugh 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 |
Kristel Kishbaugh, Po Box 1174, Boulder, MT 59632-1174 Ph: () - | Kristel Kishbaugh, 207 Edgerton St, Boulder, MT 59632-7724 Ph: (406) 438-6710 |
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