Krista Fuqua, - Medicare Nurse Practitioner in Grants Pass, OR

Krista Fuqua, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grants Pass, Oregon. Her current practice location is 1585 Nw Washington Blvd, Grants Pass, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 474-5511.

Krista Fuqua is licensed to practice in Oregon (license number 201606762NP-PP) 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 1013347582.

Contact Information

Krista Fuqua,
1585 Nw Washington Blvd,
Grants Pass, OR 97526-1049
(541) 474-5511
Not Available



Provider's Profile

Full NameKrista Fuqua
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1585 Nw Washington Blvd, Grants Pass, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013347582
  • Provider Enumeration Date: 11/20/2013
  • Last Update Date: 08/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729201462
  • Enrollment ID: I20161102000197

Medical Identifiers

Medical identifiers for Krista Fuqua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013347582NPI-NPPES
718569OtherTXLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 201606762NP-PP (Oregon)Primary

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. Krista Fuqua allows following entities to bill medicare on her behalf.
Entity NameLutheran Community Services Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326056433
PECOS PAC ID: 1254237522
Enrollment ID: O20031210000871

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Entity NameFaspsych Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831682111
PECOS PAC ID: 2860818929
Enrollment ID: O20201015001355

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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. Krista Fuqua 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
Krista Fuqua,
Po Box 99371,
Fort Worth, TX 76199-0371

Ph: (682) 885-1855
Krista Fuqua,
1585 Nw Washington Blvd,
Grants Pass, OR 97526-1049

Ph: (541) 474-5511

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› Verified 4 days ago


Nurse Practitioner Nurses in Grants Pass, OR

Ms. Catherine Chiaradonna, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1867 Williams Hwy Ste 226, Grants Pass, OR 97527
Phone: 877-672-8620    
Cathryn Diann Draper, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 520 Sw Ramsey Ave Ste 204, Grants Pass, OR 97527
Phone: 541-930-7223    Fax: 541-930-7221
Deborah Lynn Rossel, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1600 Nw 6th St, Grants Pass, OR 97526
Phone: 541-916-5500    Fax: 541-916-5010
Laura Lynn Johnson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR 97526
Phone: 541-916-8530    Fax: 541-916-8533
Mona Kaahu, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526
Phone: 541-471-3455    Fax: 541-471-9242
Ms. Charlane A Frazier, WHCNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 160 Nw Franklin Blvd, Grants Pass, OR 97526
Phone: 541-474-2784    Fax: 541-474-0638

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