Katherina A Shahan, NP-C - Medicare Nurse Practitioner in Gillette, WY

Katherina A Shahan, NP-C is a medicare enrolled "Nurse Practitioner - Women's Health" physician in Gillette, Wyoming. Her current practice location is 1414 W 4th St, Gillette, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 682-6263.

Katherina A Shahan is licensed to practice in Wyoming (license number 49959) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073219895.

Contact Information

Katherina A Shahan, NP-C
1414 W 4th St,
Gillette, WY 82716-3328
(307) 682-6263
(307) 682-2024



Physician's Profile

Full NameKatherina A Shahan
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location1414 W 4th St, Gillette, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073219895
  • Provider Enumeration Date: 02/02/2023
  • Last Update Date: 02/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042683617
  • Enrollment ID: I20230301001384

Medical Identifiers

Medical identifiers for Katherina A Shahan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073219895NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 49959 (Wyoming)Secondary
363LW0102XNurse Practitioner - Women's Health 49959 (Wyoming)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. Katherina A Shahan 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 AddressPractice Location Address
Katherina A Shahan, NP-C
1414 W 4th St,
Gillette, WY 82716-3328

Ph: (307) 682-6263
Katherina A Shahan, NP-C
1414 W 4th St,
Gillette, WY 82716-3328

Ph: (307) 682-6263

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