Mrs Katie Evelyn Shull, ARNP in Dakota Dunes, SD

Mrs Katie Evelyn Shull, ARNP is a medicare enrolled "Nurse Practitioner" in Dakota Dunes, South Dakota. Her current practice location is 330 Dakota Dunes Blvd Ste 400, Dakota Dunes, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 422-3000.

Mrs Katie Evelyn Shull is licensed to practice in Iowa (license number A163550) 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 1417674482.

Contact Information

	Mrs Katie Evelyn Shull, ARNP
	330 Dakota Dunes Blvd Ste 400, Dakota Dunes, SD 57049-5462
	(605) 422-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Katie Evelyn Shull
Gender	Female
Speciality	Nurse Practitioner
Location	330 Dakota Dunes Blvd Ste 400, Dakota Dunes, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417674482
Provider Enumeration Date: 10/20/2022
Last Update Date: 10/20/2022

Medicare PECOS Information:

PECOS PAC ID: 9133587181
Enrollment ID: I20230622003224

Medical Identifiers

Medical identifiers for Mrs Katie Evelyn Shull such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417674482	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	A163550 (Iowa)	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. Mrs Katie Evelyn Shull allows following entities to bill medicare on her behalf.

Entity Name	Dermsd Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801465976 PECOS PAC ID: 5597153072 Enrollment ID: O20220915001068

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. Mrs Katie Evelyn Shull 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
Mrs Katie Evelyn Shull, ARNP 330 Dakota Dunes Blvd Ste 400, Dakota Dunes, SD 57049-5462 Ph: (605) 422-3000	Mrs Katie Evelyn Shull, ARNP 330 Dakota Dunes Blvd Ste 400, Dakota Dunes, SD 57049-5462 Ph: (605) 422-3000

Reviews and Comments

Nurse Practitioner Nurses in Dakota Dunes, SD

Alexandria Lynn Kohn, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 712-222-7960 Fax: 472-222-7961
Ellen T Wengert, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 605-217-5500 Fax: 605-217-5515
Nicolle Marie Weaver, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900
Mrs. Rayna Lea Bernadine Mccormick, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900
Brooke Buum, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 Phone: 605-217-4320 Fax: 605-217-2948
Sandra Louise Shumaker, ACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 Spyglass Cir, Cnos, Pc, Dakota Dunes, SD 57049 Phone: 712-490-8422
Allison Faye Pedersen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900

Mrs Katie Evelyn Shull, ARNP - Medicare Nurse Practitioner in Dakota Dunes, SD