Kristopher Mitchell Short, in Saint Joseph, MO

Kristopher Mitchell Short, is a medicare enrolled "Nurse Practitioner - Gerontology" in Saint Joseph, Missouri. His current practice location is 5325 Faraon St, Saint Joseph, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 271-6406.

Kristopher Mitchell Short is licensed to practice in Missouri (license number 2022024067) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215671128.

Contact Information

	Kristopher Mitchell Short,
	5325 Faraon St, Saint Joseph, MO 64506-3488
	(816) 271-6406
	(816) 271-7986

Map and Direction

Provider's Profile

Full Name	Kristopher Mitchell Short
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	5325 Faraon St, Saint Joseph, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215671128
Provider Enumeration Date: 04/26/2022
Last Update Date: 10/09/2024

Medicare PECOS Information:

PECOS PAC ID: 4981087806
Enrollment ID: I20220810001102

Medical Identifiers

Medical identifiers for Kristopher Mitchell Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215671128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	2003020380 (Missouri)	Secondary
363L00000X	Nurse Practitioner	2022024067 (Missouri)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	2022024067 (Missouri)	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. Kristopher Mitchell Short allows following entities to bill medicare on his behalf.

Entity Name	Truman Medical Center Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144207937 PECOS PAC ID: 7315841418 Enrollment ID: O20031120000847

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. Kristopher Mitchell Short 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
Kristopher Mitchell Short, 5301 Faraon St Ste 120, Saint Joseph, MO 64506-3512 Ph: (816) 271-6406	Kristopher Mitchell Short, 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6406

Reviews and Comments

Nurse Practitioner Nurses in Saint Joseph, MO

Susan Lee Kirkle, ADULT PSYCH MH NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 724 N 22nd St, Saint Joseph, MO 64506 Phone: 816-364-1501 Fax: 816-364-6735
Kevin Baer, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-7273
Allison Mae Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 802 N Riverside Rd Ste 220, Saint Joseph, MO 64507 Phone: 816-271-7074 Fax: 816-385-8083
Cindy L Schoenlaub, RNC, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1322 N 36th St, Saint Joseph, MO 64506 Phone: 816-364-1944
Ms. Teresa Lynn Mead-hahn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 Village Dr, Saint Joseph, MO 64506 Phone: 816-307-8231
Jordan Hummel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6122 Fax: 816-271-6019
Amanda Johnson-sollars, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-7826

Kristopher Mitchell Short, - Medicare Nurse Practitioner in Saint Joseph, MO