Ms Kimberly Shaffner, FNP-BC is a
Family Medicine based in Lake Geneva, Wisconsin. Ms Kimberly Shaffner is licensed to practice in Wisconsin (license number 8726-33) and her current practice location is
N3143 Kale Rd, Lake Geneva, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 203-1104.
NPI number for Ms Kimberly Shaffner is 1275003394 and her current mailing address is N3143 Kale Rd, Lake Geneva, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275003394.
Provider's Profile
Full Name | Ms Kimberly Shaffner |
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Gender | Female |
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Speciality | Family Medicine |
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Location | N3143 Kale Rd, Lake Geneva, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275003394
- Provider Enumeration Date: 12/01/2018
- Last Update Date: 07/06/2023
Medical Identifiers
Medical identifiers for Ms Kimberly Shaffner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275003394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 8726-33 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.020547 (Illinois) | Secondary |
207Q00000X | Family Medicine | 8726-33 (Wisconsin) | Primary |
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. Ms Kimberly Shaffner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Kimberly Shaffner, FNP-BC N3143 Kale Rd, Lake Geneva, WI 53147-3235 Ph: (262) 203-1104 | Ms Kimberly Shaffner, FNP-BC N3143 Kale Rd, Lake Geneva, WI 53147-3235 Ph: (262) 203-1104 |
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