Krystal Jo Etters, RN is a medicare enrolled "Nurse Practitioner - Primary Care" in Roseville, Ohio. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
4690 Butler Rd, Roseville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 252-1934.
Krystal Jo Etters is licensed to practice in Ohio (license number APRN.CNP.0029903) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1780924217.
Provider's Profile
| Full Name | Krystal Jo Etters |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 4690 Butler Rd, Roseville, Ohio |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Krystal Jo Etters graduated from nursing school in 2021
NPI Data:
- NPI Number: 1780924217
- Provider Enumeration Date: 02/20/2013
- Last Update Date: 10/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042651119
- Enrollment ID: I20250319002097
Medical Identifiers
Medical identifiers for Krystal Jo Etters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780924217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN.374253 (Ohio) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.0029903 (Ohio) | 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. Krystal Jo Etters allows following entities to bill medicare on her behalf.
| Entity Name | Absolute Hospice, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649694068
PECOS PAC ID: 4183856800
Enrollment ID: O20200508001717 |
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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. Krystal Jo Etters 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 |
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Krystal Jo Etters, RN
420 Perine Rd,
Zanesville, OH 43701-7641
Ph: () - | Krystal Jo Etters, RN
4690 Butler Rd,
Roseville, OH 43777-9719
Ph: (740) 252-1934 |
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