Kylie Shaffer, FNP-C

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95204200 Issued in CA

Practice address

23625 Holman Hwy
Monterey, CA 93940-5902

Phone

(831) 624-5311

NPI assigned

Oct 7, 2024

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Georgetown University School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Monterey Bay Gi Consultants Medical Group IncGroup PAC ID 1153387386, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145
• Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11462/brand/2/csg/1/fhir/r4
• Direct secure messaging: kshaffer26852@direct.svmh.com
• Direct secure messaging: kylie.shaffer.1@11462.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monterey Bay Gi Consultants Medical Group Inc.

  • Gastroenterology Physician
  • Monterey, CA
  • NPI 1154373280
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital of the Monterey Peninsula

  • Psychiatric Hospital Unit
  • Monterey, CA
  • NPI 1679562169
  Care Compare affiliation
• Community Hospital of the Monterey Peninsula

  • General Acute Care Hospital
  • Monterey, CA
  • NPI 1932197258
  Care Compare affiliation
• Salinas Valley Memorial Healthcare System

  dba Taylor Farms Family Health & Wellness Center

  • Rural Health Clinic/Center
  • Gonzales, CA
  • NPI 1437549284

  Hospital

  Care Compare affiliation
• Salinas Valley Memorial Healthcare System

  • General Acute Care Hospital
  • Salinas, CA
  • NPI 1750384079
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1063231041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1084",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939551084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23625 HOLMAN HWY",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405902",
            "telephone_number": "831-624-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "KYLIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95204200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalisa Sergent, CPNP
• Abigail Colleen-Boorman Serpico, DC
• Allison Wills Serrano, ND
• Set Free Monterey Bay
• Anil Kumar Sethi, OD
• Mike Wayne Shaffer
• Katrina Sinlinda Shah, AMFT
• Pir W Shah, M.D.
• Emile F Shaheen, M.D.
• John Anthony Shaheen, M.D.

• Registered Nurse in Monterey, CA
• Providers in Monterey, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.