Mrs Kristen M Vandenberg-harrison, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Eagle, Colorado. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Regents Of The University Of Colorado, Sondermind Provider Network Llc and her current practice location is
137 Howard St, Eagle, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 328-6969.
Mrs Kristen M Vandenberg-harrison is licensed to practice in Colorado (license number 990504) 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 1245558071.
Provider's Profile
| Full Name | Mrs Kristen M Vandenberg-harrison |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 137 Howard St, Eagle, Colorado |
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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:
- Mrs Kristen M Vandenberg-harrison graduated from nursing school in 2010
NPI Data:
- NPI Number: 1245558071
- Provider Enumeration Date: 05/04/2010
- Last Update Date: 09/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 9335265396
- Enrollment ID: I20121024000828
Medical Identifiers
Medical identifiers for Mrs Kristen M Vandenberg-harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245558071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 1617657 (Colorado) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 990504 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Regents Of The University Of Colorado | 7012810716 | 16 |
| Sondermind Provider Network Llc | 9537572490 | 874 |
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 M Vandenberg-harrison allows following entities to bill medicare on her behalf.
| Entity Name | Regents Of The University Of Colorado |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801226048
PECOS PAC ID: 7012810716
Enrollment ID: O20140717001895 |
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| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210113002826 |
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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 Kristen M Vandenberg-harrison 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 Kristen M Vandenberg-harrison, APN
4863 N Nevada Ave, Ste 250,
Colorado Springs, CO 80918-3951
Ph: (970) 683-7107 | Mrs Kristen M Vandenberg-harrison, APN
137 Howard St,
Eagle, CO 81631
Ph: (970) 328-6969 |
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