Mrs Kristen G Shaffer, FNP-C in Lake Oswego, OR

Mrs Kristen G Shaffer, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lake Oswego, Oregon. Her current practice location is 4550 Kruse Way Ste 125, Lake Oswego, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 457-7100.

Mrs Kristen G Shaffer is licensed to practice in Oregon (license number 201402108NP-PP) 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 1164772893.

Contact Information

	Mrs Kristen G Shaffer, FNP-C
	4550 Kruse Way Ste 125, Lake Oswego, OR 97035-3533
	(503) 457-7100
	(877) 767-3163

Map and Direction

Provider's Profile

Full Name	Mrs Kristen G Shaffer
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4550 Kruse Way Ste 125, Lake Oswego, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164772893
Provider Enumeration Date: 09/10/2012
Last Update Date: 10/23/2023

Medicare PECOS Information:

PECOS PAC ID: 7810112414
Enrollment ID: I20141028001559

Medical Identifiers

Medical identifiers for Mrs Kristen G Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164772893	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	101.0097262 (Vermont)	Secondary
363LF0000X	Nurse Practitioner - Family	201402108NP-PP (Oregon)	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 Kristen G Shaffer allows following entities to bill medicare on her behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

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 Kristen G Shaffer 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 Kristen G Shaffer, FNP-C 5048 Se Knapp St, Portland, OR 97206-8342 Ph: (415) 516-6143	Mrs Kristen G Shaffer, FNP-C 4550 Kruse Way Ste 125, Lake Oswego, OR 97035-3533 Ph: (503) 457-7100

Reviews and Comments

Nurse Practitioner Nurses in Lake Oswego, OR

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Mrs. Amanda L Swinehart, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5299 Lakeview Blvd, Lake Oswego, OR 97035 Phone: 740-215-1612
Dr. Kristine Susan White, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14523 Westlake Dr Ste 25, Lake Oswego, OR 97035 Phone: 503-854-7160 Fax: 503-886-8961
Anthony Hernandez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 503-603-7355
Tierney Newman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035 Phone: 503-216-1500

Mrs Kristen G Shaffer, FNP-C - Medicare Nurse Practitioner in Lake Oswego, OR