Gordon Memorial Hospital
A Medicare group practice based in Gordon, NE: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 3072403575), with 16 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3072403575
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NE
- Enrollments
- 5
- Group size
- 13 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 9
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040318000370 | NE | Part B Supplier - Clinic/Group Practice | 1174504849 |
| O20071129000745 | NE | Part A Provider - Critical Access Hospital | 1174504849 |
| O20071129000749 | NE | Part A Provider - Critical Access Hospital | 1982779039 |
| O20050629001245 | NE | Part A Provider - Rural Health Clinic | 1033203567 |
| O20050629001231 | NE | Part A Provider - Rural Health Clinic | 1295828713 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Gordon Memorial Hospital
- Rural Health Clinic/Center
- Rushville, NE
- NPI 1033203567
-
Gordon Memorial Hospital
- Critical Access Hospital
- Gordon, NE
- NPI 1174504849
-
Gordon Memorial Hospital
- Rural Health Clinic/Center
- Gordon, NE
- NPI 1295828713
-
Gordon Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Gordon, NE
- NPI 1982779039
-
Gordon Memorial Hospital
- General Practice Physician
- Gordon, NE
- NPI 1326182494
Practice locations
- Gordon, NE7
- Rushville, NE2
Clinicians 16
Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (13).
-
Cassie Marie Banks, MS FNP
- Family Nurse Practitioner
- Gordon, NE
- NPI 1154581429
-
Anpo Wicahpi Charging Thunder, M.D.
- Family Medicine Physician
- Gordon, NE
- NPI 1922252295
-
Joseph Hsin, MD
- Orthopaedic Surgery Physician
- Westminster, CO
- NPI 1912951443
-
Kaleigh Marie Krebs, DNP, APRN, FNP-C
- Family Nurse Practitioner
- Gordon, NE
- NPI 1104478627
-
Christopher Joe La Rose, FNP, ANP, NP
- Emergency Medicine Physician
- Gordon, NE
- NPI 1033780739
-
Jason Latowsky, M.D.
- Surgery Physician
- Scottsbluff, NE
- NPI 1902070444
-
Karen Mackie-Cotton, PA
- Medical Physician Assistant
- Omaha, NE
- NPI 1841237989
-
Kimberly Moldenhauer, NP
- Nurse Practitioner
- Fond Du Lac, WI
- NPI 1720420391
-
Jordan Marie Morris, PA
- Physician Assistant
- Chadron, NE
- NPI 1659901601
-
Jayne Elizabeth Nelson
- Family Nurse Practitioner
- Hastings, NE
- NPI 1982251096
-
Wendy S Reeves, M.D.
- Obstetrics & Gynecology Physician
- Scottsbluff, NE
- NPI 1003045014
-
Warren Eric Shaulis, MSN, FNP-BC
- Family Nurse Practitioner
- Huron, SD
- NPI 1497160436
-
Beatrice V Taylor, DO
- General Practice Physician
- Gordon, NE
- NPI 1063772440
-
Alexandra Josephine White, DO
- Family Medicine Physician
- Chamberlain, SD
- NPI 1124548979
-
Daniel C Williams, M.D.
- Anesthesiology Physician
- Scottsbluff, NE
- NPI 1174511711
-
Tiffany Jean Yan, PA-C
- Physician Assistant
- Alliance, NE
- NPI 1760723522
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.