| Nevada Regional Medical Center | |
|
800 S Ash St Nevada MO 64772 | |
| (417) 667-3355 | |
| (417) 448-3796 |
| Full Name | Nevada Regional Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 800 S Ash St, Nevada, Missouri |
| Authorized Official Name and Position | Jason Anglin (CEO/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4174483626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Regional Medical Center 800 S Ash St Nevada MO 64772-3223 Ph: (417) 667-3355 | Nevada Regional Medical Center 800 S Ash St Nevada MO 64772 Ph: (417) 667-3355 |
| NPI Number | 1942283866 |
|---|---|
| Provider Enumeration Date | 11/23/2005 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Medicare PECOS PAC ID | 9830095280 |
|---|---|
| Medicare Enrollment ID | O20031208001009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942283866 | NPI | - | NPPES |
| 100099780A | Medicaid | MO | |
| 26S061 | Other | MO | MEDICARE OSCAR |
| 90034015 | Other | MO | FACILITY BCBS |
| 010419000 | Medicaid | MO | |
| 01341012 | Other | MO | PROFESSIONAL BCBS |
| 260061 | Other | MO | MEDICARE OSCAR |
| 540419009 | Medicaid | MO | |
| 26U061 | Other | MO | MEDICARE OSCAR |
| CD4556 | Other | RAILROAD MEDICARE |
| Provider Name | John F Lange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477625838 PECOS PAC ID: 3577456771 Enrollment ID: I20040203000390 |
| Provider Name | Scott Alan Compton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568492593 PECOS PAC ID: 5890681290 Enrollment ID: I20040224000179 |
| Provider Name | Mark S Holcomb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578547790 PECOS PAC ID: 7012819956 Enrollment ID: I20040301000842 |
| Provider Name | Paul Jerome Weiland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013931013 PECOS PAC ID: 0345137279 Enrollment ID: I20040303001196 |
| Provider Name | Richard F Beamon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306828702 PECOS PAC ID: 3971491572 Enrollment ID: I20040305000818 |
| Provider Name | Roger A Francis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790760403 PECOS PAC ID: 8921998485 Enrollment ID: I20040318000118 |
| Provider Name | Terry E Lienhop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194717223 PECOS PAC ID: 9537158001 Enrollment ID: I20040510000940 |
| Provider Name | Ricky Don Kellenberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700864568 PECOS PAC ID: 1456340868 Enrollment ID: I20040511000462 |
| Provider Name | David Thomas Sparks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699734350 PECOS PAC ID: 8325038151 Enrollment ID: I20040514000106 |
| Provider Name | Thelma L Peery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871543330 PECOS PAC ID: 7517943582 Enrollment ID: I20040629000898 |
| Provider Name | Susanne Platt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346260395 PECOS PAC ID: 3375514888 Enrollment ID: I20040805001126 |
| Provider Name | Jeffrey W Bissing |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366441545 PECOS PAC ID: 4688647746 Enrollment ID: I20040817000474 |
| Provider Name | Mohammad Aref Rasheed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164400594 PECOS PAC ID: 6507831013 Enrollment ID: I20040828000207 |
| Provider Name | James Riscoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386681997 PECOS PAC ID: 4284600891 Enrollment ID: I20040904000067 |
| Provider Name | Tannaz Montee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053378083 PECOS PAC ID: 1355317736 Enrollment ID: I20040907001342 |
| Provider Name | Sonja Kay Albright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972689917 PECOS PAC ID: 2365403276 Enrollment ID: I20041025000252 |
| Provider Name | Kyle W Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609883909 PECOS PAC ID: 1759343858 Enrollment ID: I20041101000771 |
| Provider Name | Thomas L Huffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396776761 PECOS PAC ID: 0547226417 Enrollment ID: I20041203000038 |
| Provider Name | Robert Arnce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316989536 PECOS PAC ID: 3678539855 Enrollment ID: I20041209000098 |
| Provider Name | Daniel K Bixler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104818053 PECOS PAC ID: 4183672967 Enrollment ID: I20050107000805 |
| Provider Name | Franklin B Veer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629025721 PECOS PAC ID: 7810948973 Enrollment ID: I20050207000033 |
| Provider Name | Larry E Seals |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639123805 PECOS PAC ID: 9436197811 Enrollment ID: I20050418000947 |
| Provider Name | Phillip D Barker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932266384 PECOS PAC ID: 5890726624 Enrollment ID: I20050822001110 |
| Provider Name | Charles S Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891826269 PECOS PAC ID: 1254363393 Enrollment ID: I20050909000010 |
| Provider Name | Jama J Bogart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801972682 PECOS PAC ID: 8426082884 Enrollment ID: I20050924000203 |
| Provider Name | Daniel E Barnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477502268 PECOS PAC ID: 8426062514 Enrollment ID: I20060127000343 |
| Provider Name | Steven Franklin Marquardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720048804 PECOS PAC ID: 4981614989 Enrollment ID: I20060504000138 |
| Provider Name | William Mason Bone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750335055 PECOS PAC ID: 8628979002 Enrollment ID: I20060609000093 |
| Provider Name | Vernon Kent Cooper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578502753 PECOS PAC ID: 5395757363 Enrollment ID: I20060613000185 |
| Provider Name | Warren C Lovinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427037670 PECOS PAC ID: 1850303728 Enrollment ID: I20060616000116 |
| Provider Name | David A Dowell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841221413 PECOS PAC ID: 5395758866 Enrollment ID: I20060731000006 |
| Provider Name | David A Zuehlke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467480558 PECOS PAC ID: 3971516212 Enrollment ID: I20060803000135 |
| Provider Name | Justin Shane Ogden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538182639 PECOS PAC ID: 6103823448 Enrollment ID: I20061031000233 |
| Provider Name | Lisa R Nordberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114091212 PECOS PAC ID: 9638069594 Enrollment ID: I20070116000167 |
| Provider Name | Myriam C Ensling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255389037 PECOS PAC ID: 7517968894 Enrollment ID: I20070130000195 |
| Provider Name | Earl Blair Maes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699717363 PECOS PAC ID: 0840281937 Enrollment ID: I20070321000654 |
| Provider Name | Navid S Zaidi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700980232 PECOS PAC ID: 1850333998 Enrollment ID: I20070418000381 |
| Provider Name | Tammy Albrecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992882328 PECOS PAC ID: 7810092616 Enrollment ID: I20070424000511 |
| Provider Name | Laurel L Baumstark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184749319 PECOS PAC ID: 2163528035 Enrollment ID: I20070509000681 |
| Provider Name | Ekaterina I Alberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780633677 PECOS PAC ID: 3173531183 Enrollment ID: I20070827000255 |
| Provider Name | Christopher Robert Andrew |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184660995 PECOS PAC ID: 1355439068 Enrollment ID: I20071114000073 |
| Provider Name | Mark E Stewart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164634390 PECOS PAC ID: 8628166907 Enrollment ID: I20071120000534 |
| Provider Name | Kurtis Cox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104850098 PECOS PAC ID: 7618066333 Enrollment ID: I20071204000291 |
| Provider Name | Brian W Adkison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811078496 PECOS PAC ID: 1557450996 Enrollment ID: I20071207000493 |
| Provider Name | Sudhir Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013073824 PECOS PAC ID: 9234233198 Enrollment ID: I20080731000022 |
| Provider Name | Robert A Honegger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942255120 PECOS PAC ID: 0345225728 Enrollment ID: I20080910000315 |
| Provider Name | Miranda K Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144483579 PECOS PAC ID: 7214005867 Enrollment ID: I20081009000028 |
| Provider Name | Daniel Regan Scheurich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659396539 PECOS PAC ID: 7810082724 Enrollment ID: I20081124000438 |
| Provider Name | Coye Q Mcmillan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427253830 PECOS PAC ID: 9234290875 Enrollment ID: I20081202000132 |
| Provider Name | Brian K Ellefsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871694760 PECOS PAC ID: 9739239104 Enrollment ID: I20090611000535 |
| Provider Name | Candice A Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326013228 PECOS PAC ID: 4183779358 Enrollment ID: I20090911000553 |
| Provider Name | Matthew Dwight Grounds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104035062 PECOS PAC ID: 0042358699 Enrollment ID: I20091119000151 |
| Provider Name | Russell R Kemm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649277831 PECOS PAC ID: 2062555139 Enrollment ID: I20100211000653 |
| Provider Name | Jennifer L Conley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194720862 PECOS PAC ID: 9931150646 Enrollment ID: I20100331000809 |
| Provider Name | Glen D Georger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578676565 PECOS PAC ID: 7012084452 Enrollment ID: I20100421000659 |
| Provider Name | John Michael Loney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073606695 PECOS PAC ID: 4183753585 Enrollment ID: I20100524000381 |
| Provider Name | Heather T Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356346050 PECOS PAC ID: 1254382963 Enrollment ID: I20100526000080 |
| Provider Name | Eric S Von Holten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992727309 PECOS PAC ID: 1951299114 Enrollment ID: I20100526000494 |
| Provider Name | Kiana D Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285807362 PECOS PAC ID: 5496884397 Enrollment ID: I20100603000019 |
| Provider Name | Walter W Costner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417993957 PECOS PAC ID: 9830220383 Enrollment ID: I20100626000417 |
| Provider Name | Howard A. Peth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639265283 PECOS PAC ID: 3577694975 Enrollment ID: I20100629000536 |
| Provider Name | Joseph T Dodd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053314195 PECOS PAC ID: 5496668345 Enrollment ID: I20100701000473 |
| Provider Name | Timothy D Stebbins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053530675 PECOS PAC ID: 4183755564 Enrollment ID: I20100713000265 |
| Provider Name | William B Suk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053428201 PECOS PAC ID: 6002811247 Enrollment ID: I20100717000134 |
| Provider Name | Elizabeth A Lambird |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255360731 PECOS PAC ID: 5092794966 Enrollment ID: I20100729000817 |
| Provider Name | Nora T Quiason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306852017 PECOS PAC ID: 9234263823 Enrollment ID: I20100818000640 |
| Provider Name | Nathan S Box |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154520757 PECOS PAC ID: 7416081039 Enrollment ID: I20100818000954 |
| Provider Name | Arihant Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396910469 PECOS PAC ID: 6709910086 Enrollment ID: I20100823000848 |
| Provider Name | Guy R Kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134215759 PECOS PAC ID: 2062536360 Enrollment ID: I20100823001102 |
| Provider Name | Brandon G Mahurin |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1669676417 PECOS PAC ID: 8022158690 Enrollment ID: I20100915000900 |
| Provider Name | William A Turner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528064813 PECOS PAC ID: 4486605193 Enrollment ID: I20101112000266 |
| Provider Name | Lee T Weng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902849102 PECOS PAC ID: 9739358094 Enrollment ID: I20110803000566 |
| Provider Name | Lori M Schimmel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689820391 PECOS PAC ID: 7214093392 Enrollment ID: I20110913000662 |
| Provider Name | Raymond N Eisenmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164430880 PECOS PAC ID: 4385810621 Enrollment ID: I20120109000053 |
| Provider Name | Mark D Brecheisen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740503416 PECOS PAC ID: 4082730544 Enrollment ID: I20120725000626 |
| Provider Name | Iouri I Simonenko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891956157 PECOS PAC ID: 0749430015 Enrollment ID: I20121022000758 |
| Provider Name | Valerie M Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447508130 PECOS PAC ID: 3476704917 Enrollment ID: I20121110000144 |
| Provider Name | Philip C Slocum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275889826 PECOS PAC ID: 3072766658 Enrollment ID: I20130109000737 |
| Provider Name | Adam D Fahrenholtz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770808255 PECOS PAC ID: 7113168246 Enrollment ID: I20130801000049 |
| Provider Name | Atman Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023219698 PECOS PAC ID: 9739373309 Enrollment ID: I20130916000754 |
| Provider Name | Jason L Maxfield |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1053572966 PECOS PAC ID: 8224285242 Enrollment ID: I20130919000385 |
| Provider Name | Thomas W Lovinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962729152 PECOS PAC ID: 2769643576 Enrollment ID: I20130923000405 |
| Provider Name | Nauman Ashraf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639346703 PECOS PAC ID: 0345474300 Enrollment ID: I20131004000247 |
| Provider Name | Mark L Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699064279 PECOS PAC ID: 1355578220 Enrollment ID: I20131220001809 |
| Provider Name | Yaso Manel Jayawardhana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265867774 PECOS PAC ID: 4486884798 Enrollment ID: I20140306001947 |
| Provider Name | Jason W Blair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588951750 PECOS PAC ID: 0143446112 Enrollment ID: I20140728002108 |
| Provider Name | Jonathan B Sperry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689081143 PECOS PAC ID: 5597982132 Enrollment ID: I20140805002974 |
| Provider Name | Muhammad Imran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881987071 PECOS PAC ID: 6507085875 Enrollment ID: I20140918001227 |
| Provider Name | Zachary W Dalton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497017693 PECOS PAC ID: 2668692880 Enrollment ID: I20141009001794 |
| Provider Name | Jamie A Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114214962 PECOS PAC ID: 9638394661 Enrollment ID: I20141211001210 |
| Provider Name | Kenneth Offutt |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962720540 PECOS PAC ID: 1759609431 Enrollment ID: I20150408002268 |
| Provider Name | Christopher M Gifford |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1982047791 PECOS PAC ID: 7719205434 Enrollment ID: I20150409000744 |
| Provider Name | Benjamin M Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417247644 PECOS PAC ID: 9234450644 Enrollment ID: I20150610000285 |
| Provider Name | Justin D Wilberding |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205191848 PECOS PAC ID: 0345552584 Enrollment ID: I20150701001085 |
| Provider Name | Amanda S Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578853032 PECOS PAC ID: 2860636339 Enrollment ID: I20150710002023 |
| Provider Name | Dustin L Gammon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972943918 PECOS PAC ID: 0547577686 Enrollment ID: I20150922001249 |
| Provider Name | Eileen N Rowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588928139 PECOS PAC ID: 0840431102 Enrollment ID: I20151110002514 |
| Provider Name | Morris S Glover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447416862 PECOS PAC ID: 6608933080 Enrollment ID: I20160419002658 |
| Provider Name | Stephen R Meirose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447453394 PECOS PAC ID: 6002837408 Enrollment ID: I20160420000052 |
| Provider Name | Jared W Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982018727 PECOS PAC ID: 4587954409 Enrollment ID: I20160606002094 |
| Provider Name | Douglas Crowther |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780084715 PECOS PAC ID: 7810281383 Enrollment ID: I20160805000528 |
| Provider Name | Danielle M Bishop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386059608 PECOS PAC ID: 7113215328 Enrollment ID: I20161004000624 |
| Provider Name | Seth Colby Bingman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457766891 PECOS PAC ID: 3476841685 Enrollment ID: I20161004000673 |
| Provider Name | Jacqueline Margaret Youtsos |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780950352 PECOS PAC ID: 7315102589 Enrollment ID: I20161025000607 |
| Provider Name | Grant T Pierson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699034900 PECOS PAC ID: 0446572903 Enrollment ID: I20161121000472 |
| Provider Name | Pamela Cecile Landon |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477500700 PECOS PAC ID: 1759399066 Enrollment ID: I20161208001634 |
| Provider Name | Christy L Walter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801859160 PECOS PAC ID: 2062479504 Enrollment ID: I20170615000352 |
| Provider Name | Shashank B Radadiya |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306887161 PECOS PAC ID: 9032113402 Enrollment ID: I20170803003201 |
| Provider Name | Carol S Twyman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073579314 PECOS PAC ID: 5496859027 Enrollment ID: I20170822002327 |
| Provider Name | Jabbar Abdul Joshua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164556460 PECOS PAC ID: 9234223231 Enrollment ID: I20170829000823 |
| Provider Name | Russell L Workman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831157973 PECOS PAC ID: 0244131522 Enrollment ID: I20170901001553 |
| Provider Name | Karolyn M Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811002611 PECOS PAC ID: 5698721504 Enrollment ID: I20170908002393 |
| Provider Name | Brian Grantham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437356326 PECOS PAC ID: 8426102526 Enrollment ID: I20170918003229 |
| Provider Name | Gary W Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962728824 PECOS PAC ID: 3476795089 Enrollment ID: I20171005000424 |
| Provider Name | James Paul Caplan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356474175 PECOS PAC ID: 2860392719 Enrollment ID: I20180212001654 |
| Provider Name | Titus J Weller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356760243 PECOS PAC ID: 9537471826 Enrollment ID: I20180314000961 |
| Provider Name | Philip A Beuchert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467452995 PECOS PAC ID: 5890974380 Enrollment ID: I20180418002910 |
| Provider Name | Naveen Penmasta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447697750 PECOS PAC ID: 7810294337 Enrollment ID: I20180518001591 |
| Provider Name | Shelly Diane Sedberry |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770978074 PECOS PAC ID: 8426379041 Enrollment ID: I20180523000729 |
| Provider Name | Charles Thomas Spencer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477844041 PECOS PAC ID: 2668615832 Enrollment ID: I20180525001027 |
| Provider Name | Trevor Lynn Bond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811212202 PECOS PAC ID: 4082867346 Enrollment ID: I20180711001420 |
| Provider Name | Jordan Douglass Birch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881044709 PECOS PAC ID: 6800146010 Enrollment ID: I20180910002746 |
| Provider Name | Jared N Norman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619330073 PECOS PAC ID: 9931491446 Enrollment ID: I20180910002954 |
| Provider Name | Patrick J Lowry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679555114 PECOS PAC ID: 0648520692 Enrollment ID: I20180912001978 |
| Provider Name | Victor Ramon Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295982452 PECOS PAC ID: 6709924350 Enrollment ID: I20181018001441 |
| Provider Name | Evan Branscum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437679651 PECOS PAC ID: 7719231141 Enrollment ID: I20181121000225 |
| Provider Name | Brian Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275054215 PECOS PAC ID: 3779837174 Enrollment ID: I20181126000073 |
| Provider Name | John Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396195277 PECOS PAC ID: 4981958220 Enrollment ID: I20181126002030 |
| Provider Name | Adam Michael Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679094593 PECOS PAC ID: 3577807148 Enrollment ID: I20181207002510 |
| Provider Name | Clarence J Dye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801250865 PECOS PAC ID: 6608169297 Enrollment ID: I20181212002070 |
| Provider Name | Joseph Michel Meier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033568787 PECOS PAC ID: 7315235314 Enrollment ID: I20181213002122 |
| Provider Name | Shantra K Nuehring |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154771012 PECOS PAC ID: 1951640929 Enrollment ID: I20190308002169 |
| Provider Name | Adam L Herrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841711777 PECOS PAC ID: 2163762618 Enrollment ID: I20190319002312 |
| Provider Name | John M Rayburn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346275302 PECOS PAC ID: 9638151616 Enrollment ID: I20190321000779 |
| Provider Name | Matthew T Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275054074 PECOS PAC ID: 3375883705 Enrollment ID: I20190322000275 |
| Provider Name | Teresa Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689133134 PECOS PAC ID: 3375885205 Enrollment ID: I20190425000661 |
| Provider Name | Jessica Cornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942768833 PECOS PAC ID: 3476896119 Enrollment ID: I20190520002403 |
| Provider Name | Sean J Mark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891229407 PECOS PAC ID: 9931479540 Enrollment ID: I20190719001982 |
| Provider Name | Erica Mcmillan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508218363 PECOS PAC ID: 4587990023 Enrollment ID: I20190722003173 |
| Provider Name | Daniel W Lovinger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598115693 PECOS PAC ID: 8123310091 Enrollment ID: I20190805000851 |
| Provider Name | James Obrien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104359306 PECOS PAC ID: 0840560405 Enrollment ID: I20190823000703 |
| Provider Name | Cody Stark Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063943587 PECOS PAC ID: 8426315300 Enrollment ID: I20190830000671 |
| Provider Name | Ashley Meredith Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508399304 PECOS PAC ID: 1153691787 Enrollment ID: I20190916003350 |
| Provider Name | Kashif Hameed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235490186 PECOS PAC ID: 0446556591 Enrollment ID: I20190930002859 |
| Provider Name | John Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992786305 PECOS PAC ID: 9931141983 Enrollment ID: I20200113001911 |
| Provider Name | Anton N Galich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487605226 PECOS PAC ID: 4981616133 Enrollment ID: I20200406002904 |
| Provider Name | Joel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20200428000101 |
| Provider Name | Jody M Pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629602024 PECOS PAC ID: 8123459112 Enrollment ID: I20200506002997 |
| Provider Name | Dena Splitter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023487527 PECOS PAC ID: 2668762048 Enrollment ID: I20200612001655 |
| Provider Name | German Candanedo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114450392 PECOS PAC ID: 3072883651 Enrollment ID: I20200709003278 |
| Provider Name | Sean Typher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073018149 PECOS PAC ID: 2567718380 Enrollment ID: I20200721001105 |
| Provider Name | Adewale Odukoya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902268550 PECOS PAC ID: 1456643345 Enrollment ID: I20200727002363 |
| Provider Name | Caleb N Pace |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124548086 PECOS PAC ID: 6305262205 Enrollment ID: I20200821000767 |
| Provider Name | Katelyn Erwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205445863 PECOS PAC ID: 3072930858 Enrollment ID: I20200825000915 |
| Provider Name | John Daniel Melech |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871133397 PECOS PAC ID: 2466871371 Enrollment ID: I20200925002176 |
| Provider Name | Brittany Marie-noelle Ciaramello |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104288141 PECOS PAC ID: 3577857176 Enrollment ID: I20201006001149 |
| Provider Name | Daniel Gallagher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477084481 PECOS PAC ID: 1951673516 Enrollment ID: I20201014002047 |
| Provider Name | Jarret Gardner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144726837 PECOS PAC ID: 3072869577 Enrollment ID: I20210104001510 |
| Provider Name | Kasi Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417333220 PECOS PAC ID: 9638486707 Enrollment ID: I20210120000849 |
| Provider Name | John D Harrington |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992729156 PECOS PAC ID: 0244276251 Enrollment ID: I20210218002154 |
| Provider Name | Tyler L Slade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881191260 PECOS PAC ID: 4688073315 Enrollment ID: I20210528000560 |
| Provider Name | Jeremy Serreyn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194286880 PECOS PAC ID: 1254666944 Enrollment ID: I20210621000775 |
| Provider Name | Peter Lampe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659833895 PECOS PAC ID: 3072848779 Enrollment ID: I20210621001900 |
| Provider Name | Matthew Alfred Schiffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164080016 PECOS PAC ID: 8123422953 Enrollment ID: I20210802001482 |
| Provider Name | Christopher James Erikson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447711619 PECOS PAC ID: 5991030686 Enrollment ID: I20210809001295 |
| Provider Name | Shane Kevin Giannetti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295298651 PECOS PAC ID: 5890020499 Enrollment ID: I20210810002049 |
| Provider Name | Cody A Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750842944 PECOS PAC ID: 6103151899 Enrollment ID: I20211004000337 |
| Provider Name | Gregory L Wallis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790308278 PECOS PAC ID: 8628464096 Enrollment ID: I20220412001068 |
| Provider Name | Ha Thuy Hatley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437718384 PECOS PAC ID: 3870829062 Enrollment ID: I20220712000867 |
| Provider Name | Vicki Carlene Sloniker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164157962 PECOS PAC ID: 0547642357 Enrollment ID: I20220726002493 |
| Provider Name | Jesse J Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225603319 PECOS PAC ID: 0345615928 Enrollment ID: I20230413000273 |
| Provider Name | Samantha Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407417165 PECOS PAC ID: 3274869227 Enrollment ID: I20230420000161 |
| Provider Name | Yelena A Krishchenko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750736450 PECOS PAC ID: 4981089885 Enrollment ID: I20230427000870 |
| Provider Name | Chelsay Langford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881386803 PECOS PAC ID: 8426417502 Enrollment ID: I20230707001212 |
| Provider Name | Sidney Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992494330 PECOS PAC ID: 2961861745 Enrollment ID: I20230711004267 |
| Provider Name | Brandon Sohm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114242997 PECOS PAC ID: 4688702442 Enrollment ID: I20230808001989 |
| Provider Name | Toikus Westbrook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285738468 PECOS PAC ID: 1153348362 Enrollment ID: I20231021000595 |
| Provider Name | Byron Perkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104854660 PECOS PAC ID: 7113911553 Enrollment ID: I20231116003410 |
| Provider Name | Casey Lauren Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649044397 PECOS PAC ID: 4880043025 Enrollment ID: I20231213000407 |
| Provider Name | Ralph W Hall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508847112 PECOS PAC ID: 5092750695 Enrollment ID: I20231215002588 |
| Provider Name | Jeannie O Rhodes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861451288 PECOS PAC ID: 8527971498 Enrollment ID: I20240108004163 |
Friendship House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 W Hickory St, Nevada, MO 64772 Phone: 417-448-9949 Fax: 417-503-1438 | |
Heartland Behavioral Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5689 | |
Torontow Rural Mental Health Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23595 S 1525 Rd, Nevada, MO 64772 Phone: 417-321-6294 | |
Alliance Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Prewitt St, Nevada, MO 64772 Phone: 417-667-8700 Fax: 417-667-7382 | |
Chuck Owings Msw, Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W Cherry St, Nevada, MO 64772 Phone: 417-667-4230 Fax: 417-667-7607 | |
Nevada Habilitation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2323 N Ash St, Nevada, MO 64772 Phone: 417-667-7833 Fax: 417-448-1138 | |
Allied Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Prewitt St, Nevada, MO 64772 Phone: 417-667-8700 Fax: 417-667-7382 |