KANDACE SHOULTS CRNP NPI 1841383585

Nurse Practitioner (Acute Care) in Centreville, AL

NPI 1841383585 Individual Female Nurse Practitioner Acute Care PECOS Enrolled

About KANDACE SHOULTS

Kandace Shoults is a provider established in Centreville, Alabama and her medical specialization is nurse practitioner (acute care) . The NPI number of Kandace Shoults is 1841383585 and was assigned on October 2006. The practitioner's primary taxonomy code is 363LA2100X with license number 1-074326 (AL). The provider is registered as an individual and her NPI record was last updated one year ago.

A nurse practitioner (NP) like Kandace Shoults Crnp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Kandace Shoults is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Kandace Shoults is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1841383585

Provider Name KANDACE SHOULTS CRNP
Provider Location Address208 PIERSON AVE CENTREVILLE, AL 35042
Provider Mailing Address208 PIERSON AVE CENTREVILLE, AL 35042
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-02-2006
Last Update Date12-03-2020


Primary Taxonomy

Taxonomy Code363LA2100X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationAcute Care
License No.1-074326
License StateAL

Business Address

KANDACE SHOULTS CRNP
208 PIERSON AVE
CENTREVILLE, AL
ZIP 35042
Phone: (205) 926-4881

Get Directions


Mailing Address

KANDACE SHOULTS CRNP
208 PIERSON AVE
CENTREVILLE, AL
ZIP 35042
Phone: (205) 926-4881



Secondary Locations

1768 S Washington St
Marion, AL 36756
(334) 683-9085

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Other Providers at the same location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780796813MS. TRESA RAY HOUSE RPH
Individual
Pharmacist208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-3277
1760735716 DOUGLAS H LOLLEY CRNP
Individual
Nurse Practitioner (Family)208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-3283
1356884951MISS KARLEE JOHNSON CRNP
Individual
Nurse Practitioner (Family)208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-4881
1093815722 CONNIE WALKER RICHARDSON MD
Individual
Family Medicine208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-3284
1588131643BIBB MEDICAL CENTER
Organization
Clinic/Center (Urgent Care)208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-4881
1437377793BIBB COUNTY HOSPITAL BOARD
Organization
General Acute Care Hospital208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-4881
1841358249DR. JENNIFER JOHNSON GUTHRIE PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 937-0314
1407885734THE BIBB COUNTY HEALTHCARE AUTHORITY
Organization
Skilled Nursing Facility208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-3236
1568558146THE BIBB COUNTY HEALTH CARE AUTHORITY
Organization
Pharmacy208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-4881
1306062229THE BIBB COUNTY HEALTHCARE AUTHORITY
Organization
Medicare Defined Swing Bed Unit208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-4881
1255376828THE BIBB COUNTY HEALTHCARE AUTHORITY
Organization
General Acute Care Hospital208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-4881
1902473440 EMILY KATE CRAIN RD
Individual
Dietitian, Registered208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-3244

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.