Krista Shaw Wiese, MD

Key facts

NPI

1942707005

Entity type

Individual (NPI type 1)

Primary specialty

Emergency Medicine Physician 207P00000X

License

DR0065476 (CO)

Practice address

111 6TH St
Hugo, CO 80821-2002

Phone

(719) 743-2421

NPI assigned

Apr 6, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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

• Carepoint Emergency Medicine, PLLC Emergency Medicine Physician · Denver, CO · NPI 1134590318
  Medicare reassignment Care Compare group NPD CO · EMERGENCY MEDICINE
• Lincoln Community Hospital Critical Access Hospital · Hugo, CO · NPI 1720107519
  Medicare reassignment NPD CO
• Lincoln Community Hospital Family Medicine Physician · Byers, CO · NPI 1609507409
  NPD

Hospital & facility affiliations 2

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

• HCA Healthone LLC General Acute Care Hospital · Englewood, CO · NPI 1396790200
  Care Compare affiliation Hospital
• HCA Healthone LLC General Acute Care Hospital · Lone Tree, CO · NPI 1659325629
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Emergency Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carepoint Emergency Medicine, PLLC (160 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sky Ridge Medical Center Hospital · Lone Tree, CO · CCN 060112
• HCA-Healthone Dba Swedish Medical Center Hospital · Englewood, CO · CCN 060034

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Krista Elizabeth Shaw Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 17, 2021.

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1942707005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 S QUEBEC ST STE 312A",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112208",
            "telephone_number": "303-436-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 6TH ST",
            "city": "HUGO",
            "state": "CO",
            "postal_code": "808212002",
            "telephone_number": "719-743-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "KRISTA",
        "middle_name": "SHAW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR0065476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "SHAW",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hugo, CO

• Sandra K Patrick Hendricks
• Rankin Clinical Audiology
• Rawls Clinical Audiology
• Marissa Schier, LPC
• Vanguard Medical Specialists, LLC
• Connie K Wolf, MD

All providers in Hugo, CO · Emergency Medicine Physician in Colorado