Kristine Nichole Mims, PMHNP-BC in Cicero, NY

Kristine Nichole Mims, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cicero, New York. Her current practice location is 6129 Cordero Dr, Cicero, New York. You can reach out to her office (for appointments etc.) via phone at (315) 276-9936.

Kristine Nichole Mims is licensed to practice in New York (license number 403546) 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 1164092532.

Contact Information

	Kristine Nichole Mims, PMHNP-BC
	6129 Cordero Dr, Cicero, NY 13039-7813
	(315) 276-9936
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristine Nichole Mims
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6129 Cordero Dr, Cicero, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164092532
Provider Enumeration Date: 06/29/2021
Last Update Date: 06/29/2021

Medicare PECOS Information:

PECOS PAC ID: 3779972708
Enrollment ID: I20211113000095

Medical Identifiers

Medical identifiers for Kristine Nichole Mims such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164092532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	403546 (New York)	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. Kristine Nichole Mims allows following entities to bill medicare on her behalf.

Entity Name	I -view Psychiatric Np Behavioral Therapy Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720535099 PECOS PAC ID: 2264715630 Enrollment ID: O20170208002523

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. Kristine Nichole Mims 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
Kristine Nichole Mims, PMHNP-BC 6129 Cordero Dr, Cicero, NY 13039-7813 Ph: (315) 276-9936	Kristine Nichole Mims, PMHNP-BC 6129 Cordero Dr, Cicero, NY 13039-7813 Ph: (315) 276-9936

Reviews and Comments

Nurse Practitioner Nurses in Cicero, NY

Ms. Janet Lucille Lottermoser, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5857 Glendora Rd, Cicero, NY 13039 Phone: 315-699-3830 Fax: 707-471-3830
Joy Tompkins, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6251 State Route 31, Cicero, NY 13039 Phone: 315-699-9595
Emily Glisson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8393 Elta Drive, Cicero, NY 13039 Phone: 315-698-0290 Fax: 315-698-0291
Ms. Stayce Lea Huynh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8003 Brewerton Rd, Cicero, NY 13039 Phone: 315-288-4006
Margaret Janet Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6002 Route 31, Cicero, NY 13039 Phone: 315-218-4153
Stacy Alise Chesnick, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6251 State Route 31, Cicero, NY 13039 Phone: 315-699-9595 Fax: 315-699-7095

Kristine Nichole Mims, PMHNP-BC - Medicare Nurse Practitioner in Cicero, NY