KYLIE SHAFFER FNP-C
NPI 1063231041
Registered Nurse in Monterey, CA
About Kylie Shaffer Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLIE SHAFFER FNP-C (NPI 1063231041) is an individual registered nurse in Monterey, California, licensed in California (95204200) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kylie Shaffer Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kylie Shaffer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Monterey, CA 93940
- Reassigned Medicare billing, California enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONTEREY, CA 93940
MONTEREY, CA 93940
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kylie Shaffer's NPI number?
The NPI number for Kylie Shaffer is 1063231041. It was assigned to this individual provider in the NPPES registry on October 7, 2024.
Where is Kylie Shaffer located?
Kylie Shaffer practices at 23625 Holman Hwy, Monterey, CA 93940. The listed phone number is (831) 624-5311.
What is Kylie Shaffer's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Kylie Shaffer enrolled in Medicare?
Yes. Kylie Shaffer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kylie Shaffer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kylie Shaffer reassigns Medicare benefits to Monterey Bay Gi Consultants Medical Group Inc. (Monterey, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kylie Shaffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kylie Shaffer was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kylie Shaffer, FNP-C · NPI 1063231041
Registered Nurse provider in Monterey, California. Individual provider, active in the CMS NPPES registry since October 7, 2024.
## Identity
- **NPI:** 1063231041 (Entity type: Individual)
- **Enumerated:** October 7, 2024
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** 95204200 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 23625 HOLMAN HWY, Monterey, CA 93940-5902
- **Phone:** (831) 624-5311
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Monterey Bay Gi Consultants Medical Group Inc. (NPI 1154373280, Monterey, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** October 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063231041) · Data from the CMS NPPES public registry.