Kristina Shively, LPN - Licensed Practical Nurse in Fort Wayne, IN

Kristina Shively, LPN is a Licensed Practical Nurse based in Fort Wayne, Indiana. Kristina Shively is licensed to practice in Indiana (license number 27059092A) and her current practice location is 5050 N Clinton St, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at (260) 484-8551.

NPI number for Kristina Shively is 1679162275 and her current mailing address is 5050 N Clinton St, Fort Wayne, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679162275.

Contact Information

Kristina Shively, LPN
5050 N Clinton St,
Fort Wayne, IN 46825-5886
(260) 484-8551
Not Available



Provider's Profile

Full NameKristina Shively
GenderFemale
SpecialityLicensed Practical Nurse
Location5050 N Clinton St, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679162275
  • Provider Enumeration Date: 01/18/2021
  • Last Update Date: 01/18/2021

Medical Identifiers

Medical identifiers for Kristina Shively such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679162275NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 27059092A (Indiana)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. Kristina Shively is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristina Shively, LPN
5050 N Clinton St,
Fort Wayne, IN 46825-5886

Ph: () -
Kristina Shively, LPN
5050 N Clinton St,
Fort Wayne, IN 46825-5886

Ph: (260) 484-8551

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› Verified 3 days ago


Licensed Practical Nurse Nurses in Fort Wayne, IN

Angela C Despenza, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 909 E State Blvd, Fort Wayne, IN 46805
Phone: 260-481-2700    Fax: 260-481-2717
Tina M Lehman, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 909 E State Blvd, Fort Wayne, IN 46805
Phone: 260-481-2700    Fax: 260-481-2700
Nancy Anne Perry, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805
Phone: 260-426-5431    
Amy Sue Smith, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825
Phone: 260-484-8551    Fax: 260-471-6674
Mrs. Alicia Falk, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 336 S Cornell Cir, Fort Wayne, IN 46807
Phone: 260-385-7444    
Angie Marie High,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4011 Shannon Dr, Fort Wayne, IN 46835
Phone: 260-403-2382    
Roberta D Ingol, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 909 E State Blvd, Fort Wayne, IN 46805
Phone: 260-481-2700    Fax: 260-481-2717

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