Mrs Kimberly M Shroyer, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Anna, Ohio. Her current practice location is
305 Christie Ave, Anna, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 489-3748.
Mrs Kimberly M Shroyer is licensed to practice in Ohio (license number APRN.CNP.0028530) 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 1962087304.
Provider's Profile
| Full Name | Mrs Kimberly M Shroyer |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 305 Christie Ave, Anna, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962087304
- Provider Enumeration Date: 03/17/2021
- Last Update Date: 06/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 9234539446
- Enrollment ID: I20210609002811
Medical Identifiers
Medical identifiers for Mrs Kimberly M Shroyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962087304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0028530 (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. Mrs Kimberly M Shroyer allows following entities to bill medicare on her behalf.
| Entity Name | Upper Valley Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407872518
PECOS PAC ID: 5597658138
Enrollment ID: O20040206000038 |
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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. Mrs Kimberly M Shroyer 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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Mrs Kimberly M Shroyer, APRN, FNP-C
3170 Kettering Blvd, Building B 3rd Floor,
Moraine, OH 45439-1924
Ph: (937) 991-3188 | Mrs Kimberly M Shroyer, APRN, FNP-C
305 Christie Ave,
Anna, OH 45302-8614
Ph: (937) 489-3748 |
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