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KRISTA BLAIR SHEETS NP
NPI 1508503897
Nurse Practitioner in Fort Thomas, KY

Active since May 18, 2022PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
85 N GRAND AVE UNIT 5TH, FORT THOMAS, KY 41075(859) 912-7211 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 25, 2022, May 18, 2022 (2 updates tracked since 2022).

About Krista Blair Sheets Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTA BLAIR SHEETS NP (NPI 1508503897) is an individual nurse practitioner in Fort Thomas, Kentucky, licensed in Kentucky (3017447) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508503897
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTA BLAIR SHEETSCredential: NP
Location Address85 N GRAND AVE UNIT 5THFort Thomas, KY 41075-4027
Mailing Address85 N Grand Ave Unit 5thFort Thomas, KY 41075-4027 · (859) 912-7211
Phone(859) 912-7211
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 18, 2022
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1508503897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3017447
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 3017447 (KY)
85 N GRAND AVE UNIT 5TH, Fort Thomas, KY 41075
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

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

Krista Blair Sheets Np 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.

PECOS PAC ID9830571777
PECOS Enrollment IDI20220809001445
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Krista Sheets reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group, Inc.
2.7 mi
Urgent Care
2626 ALEXANDRIA PIKE
Highland Heights, KY 41076
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1881026169 (859) 757-0434

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
267 services73 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
102 services64 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
84 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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 Krista Sheets's NPI number?

The NPI number for Krista Sheets is 1508503897. It was assigned to this individual provider in the NPPES registry on May 18, 2022.

Where is Krista Sheets located?

Krista Sheets practices at 85 N Grand Ave Unit 5th, Fort Thomas, KY 41075. The listed phone number is (859) 912-7211.

What is Krista Sheets's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Krista Sheets enrolled in Medicare?

Yes. Krista Sheets 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 Krista Sheets's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krista Sheets reassigns Medicare benefits to Summit Medical Group, Inc. (Highland Heights, KY). 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 Krista Sheets's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krista Sheets accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Krista Sheets as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krista Sheets was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.