| Holly Lynn Gomez-levine, APRN, CNP | |
|
3500 Tower Ave, Superior, WI 54880-4491 | |
| (715) 817-7100 | |
| (406) 457-8992 |
| Full Name | Holly Lynn Gomez-levine |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 3500 Tower Ave, Superior, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881857167 | NPI | - | NPPES |
| 0000371733 | Other | MT | BLUE CROSS-SHIELD OF MONTANA |
| P01206032 C01340 | Other | MT | RAILROAD MEDICARE FOR C4MH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 100926 (Montana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 7182-33 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Hospital Superior | Superior, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 957 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245278209 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000120 |
| Entity Name | St Marys Hospital Of Superior |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083657886 PECOS PAC ID: 8628964228 Enrollment ID: O20040309000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Lynn Gomez-levine, APRN, CNP 1702 University Dr S, Fargo, ND 58103-4940 Ph: () - | Holly Lynn Gomez-levine, APRN, CNP 3500 Tower Ave, Superior, WI 54880-4491 Ph: (715) 817-7100 |
Nicole Kristine-baur Bakken, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880 Phone: 715-395-5454 | |
Marisa M Gehl, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 N 28th St E, Superior, WI 54880 Phone: 218-249-5555 | |
Ms. Katie Lange Howard, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Elaina A Fischer, APRN,CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Kelly Page Sweet, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Jan Michael Broad, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Sandpiper Pl, Superior, WI 54880 Phone: 715-392-9192 | |
Kelly Kristine Parish-larson, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880 Phone: 715-395-5454 |