| Trisha Goembel, CNP | |
| 
					517 Ne Park St, Luverne, MN 56156-1230  | |
| (507) 227-4005 | |
| Not Available | 
| Full Name | Trisha Goembel | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 517 Ne Park St, Luverne, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194472712 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 8933 (Minnesota) | Primary | 
| Entity Name | Providence Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801867494 PECOS PAC ID: 4587629928 Enrollment ID: O20041124000342  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Trisha Goembel, CNP 517 Ne Park St, Luverne, MN 56156-1230 Ph: (507) 227-4005  | Trisha Goembel, CNP 517 Ne Park St, Luverne, MN 56156-1230 Ph: (507) 227-4005  | 
Jonathan Pap, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Sioux Valley Dr, Luverne, MN 56156 Phone: 507-283-4476 Fax: 507-283-9086  | |
Mrs. Katy Marie Zogg, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Sioux Valley Dr, Luverne, MN 56156 Phone: 507-283-4476  | |
Rachelle Dawn Vandegriend, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Sioux Valley Dr, Luverne, MN 56156 Phone: 507-283-4476  | |
Suzie Ann Walgrave, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Sioux Valley Dr, Luverne, MN 56156 Phone: 507-283-4476  | |
Revel Sandrel Degen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 S Spring St, Luverne, MN 56156 Phone: 507-283-9511  | |
Stacie Jorgenson-rentschler, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 S Spring St, Luverne, MN 56156 Phone: 507-283-9511  |