Krystin Danielle Nutt, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Ennis, Montana. She graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Madison Valley Hospital Inc and her current practice location is
305 N Main St, Ennis, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 682-6862.
Krystin Danielle Nutt is licensed to practice in Montana (license number 126210) 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 1205162583.
Provider's Profile
| Full Name | Krystin Danielle Nutt |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 17 Years |
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| Location | 305 N Main St, Ennis, 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. |
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Medical Education and Training:
- Krystin Danielle Nutt graduated from nursing school in 2009
NPI Data:
- NPI Number: 1205162583
- Provider Enumeration Date: 10/21/2009
- Last Update Date: 06/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 7214072248
- Enrollment ID: I20180116000904
Medical Identifiers
Medical identifiers for Krystin Danielle Nutt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205162583 | NPI | - | NPPES |
| 00726312 | Medicaid | MS | |
| 302I503659 | Other | MS | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 126210 (Montana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Madison Valley Hospital Inc | 7719890987 | 10 |
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. Krystin Danielle Nutt allows following entities to bill medicare on her behalf.
| Entity Name | Madison Valley Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740223882
PECOS PAC ID: 7719890987
Enrollment ID: O20031112000719 |
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| Entity Name | Madison Valley Hospital Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1740223882
PECOS PAC ID: 7719890987
Enrollment ID: O20061104000672 |
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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. Krystin Danielle Nutt 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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Krystin Danielle Nutt, NP-C
305 N Main St,
Ennis, MT 59729-8001
Ph: (406) 682-4223 | Krystin Danielle Nutt, NP-C
305 N Main St,
Ennis, MT 59729-8001
Ph: (406) 682-6862 |
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