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Kristin Shaub

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2112 Harrisburg Pike Ste 312, Lancaster, PA 17601-2644

PECOS Enrollment

Based on the most recent information from CMS, provider Kristin Shaub is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1386426724
Provider Type
Individual
Full Name
Shaub, Kristin
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/19/2023
Last Updated
10/19/2023

Contact Information

Practice Location

2112 Harrisburg Pike Ste 312, Lancaster, PA 17601-2644

(717) 544-3022

Unlisted Fax

Mailing Location

92 Jmr Cir, Hershey, PA 17033-1769

(717) 877-5898

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP028405 Pennsylvania

Kristin Shaub

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Martin, Kimberly Jo

Barber, Jaclyn Marie

Sharma, Archana

Stambaugh, Alexis Olivia

Ryan, Miriam Bloomfield

Osmolinski, Brenna K

Blevins, Cynthia Lee

Bonsall, Alicia

Miller, Dianna

Stoner, Nathan