Nicole Christine Kershaw, APRN is a medicare enrolled "Nurse Practitioner" in Pine Bluffs, Wyoming. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kimball County Hospital and her current practice location is
117 E 4th St, Pine Bluffs, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 245-3666.
Nicole Christine Kershaw is licensed to practice in Nebraska (license number 115038) 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 1306627500.
Provider's Profile
| Full Name | Nicole Christine Kershaw |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 117 E 4th St, Pine Bluffs, Wyoming |
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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:
- Nicole Christine Kershaw graduated from nursing school in 2023
NPI Data:
- NPI Number: 1306627500
- Provider Enumeration Date: 10/12/2023
- Last Update Date: 11/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729437330
- Enrollment ID: I20231207003335
Medical Identifiers
Medical identifiers for Nicole Christine Kershaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306627500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 115038 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kimball County Hospital | 5799751004 | 16 |
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. Nicole Christine Kershaw allows following entities to bill medicare on her behalf.
| Entity Name | Kimball County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326027160
PECOS PAC ID: 5799751004
Enrollment ID: O20040908000971 |
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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. Nicole Christine Kershaw 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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Nicole Christine Kershaw, APRN
255 W 4th St,
Kimball, NE 69145-1706
Ph: (308) 235-1951 | Nicole Christine Kershaw, APRN
117 E 4th St,
Pine Bluffs, WY 82082-5000
Ph: (307) 245-3666 |
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