Brodstone Memorial Hospital
A Medicare group practice based in Tulsa, OK: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 4082513015), with 47 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4082513015
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA, FL, KY, MO, NC, NE, OK, TX
- Enrollments
- 13
- Group size
- 12 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 22
Enrollment records 13
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20170612001904 | NE | Part A Provider - Rural Health Clinic | 1699746248 |
| O20220531000719 | MO | Part B Supplier - Clinic/Group Practice | 1073590626 |
| O20071108000013 | NE | Part A Provider - Critical Access Hospital | 1699855023 |
| O20041020001386 | NE | Part A Provider - Rural Health Clinic | 1073590626 |
| O20040423000949 | NE | Part B Supplier - Clinic/Group Practice | 1073590626 |
| O20040311001136 | NE | Part A Provider - Rural Health Clinic | 1114999547 |
| O20061215000097 | NE | Part A Provider - Critical Access Hospital | 1306842604 |
| O20250317002677 | NC | Part B Supplier - Clinic/Group Practice | 1073590626 |
| O20250326000036 | OK | Part B Supplier - Clinic/Group Practice | 1073590626 |
| O20231011000203 | TX | Part B Supplier - Clinic/Group Practice | 1073590626 |
| O20250214002165 | CA | Part B Supplier - Clinic/Group Practice | 1073590626 |
| O20250226002359 | KY | Part B Supplier - Clinic/Group Practice | 1073590626 |
| O20250307003454 | FL | Part B Supplier - Clinic/Group Practice | 1073590626 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Brodstone Memorial Hospital
dba Brodstone Family Medical Center - Superior
- Rural Health Clinic/Center
- Superior, NE
- NPI 1073590626
-
Brodstone Memorial Hospital
dba Brodstone Family Medical Center - Nelson
- Rural Health Clinic/Center
- Nelson, NE
- NPI 1114999547
-
Brodstone Memorial Hospital
dba Brodstone Healthcare
- Critical Access Hospital
- Superior, NE
- NPI 1306842604
-
Brodstone Memorial Hospital
dba Brodstone Family Medical Center - Edgar
- Rural Health Clinic/Center
- Edgar, NE
- NPI 1699746248
-
Brodstone Memorial Hospital
dba Brodstone Healthcare
- Medicare Defined Swing Bed Hospital Unit
- Superior, NE
- NPI 1699855023
-
Brodstone Memorial Hospital
dba Brodstone Family Medical Center - Deshler
- Rural Health Clinic/Center
- Deshler, NE
- NPI 1922802669
Practice locations
- Tulsa, OK5
- Superior, NE4
- Edgar, NE1
- Saint Joseph, MO1
- Moraga, CA1
- Los Angeles, CA1
- Edmond, OK1
- Neptune Beach, FL1
- Prospect, KY1
- Louisville, KY1
- Mint Hill, NC1
- Sugar Land, TX1
- Lewisville, TX1
- Deshler, NE1
- Nelson, NE1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 92.6 of 100
- Quality
- 82.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Final score
- 35.65 of 100
- Quality
- 10.28
- Promoting interoperability
- 100
- Improvement activities
- 0
Clinicians 47
Clinicians who reassign their Medicare benefits to this group (46) or whom Care Compare lists as members (12).
-
Tracy Michelle Ander, D.O.
- Neurology Physician
- Hilliard, OH
- NPI 1801121355
-
Beverly Colleen Babcock, LIMHP, LMNT
- Mental Health Counselor
- Grand Island, NE
- NPI 1124246038
-
Tamera L Belz, APRN
- Nurse Practitioner
- Hastings, NE
- NPI 1508855370
-
Pravardhan Rajashekar Birthi, M.D.
- Interventional Pain Medicine Physician
- Grand Island, NE
- NPI 1013161082
-
Timothy Blecha, MD
- Family Medicine Physician
- Superior, NE
- NPI 1790777936
-
Barry A Bohlen, M.D.
- Orthopaedic Surgery Physician
- Hastings, NE
- NPI 1710928130
-
Pavankumar Bommasamudram, M.D.
- Internal Medicine Physician
- Tulsa, OK
- NPI 1639306293
-
Mark Klingler Borsody, MD
- Neurology Physician
- Napa, CA
- NPI 1215179767
-
Riley L Butler, PA-C
- Medical Physician Assistant
- Superior, NE
- NPI 1568196608
-
Warren V Carrigan III, MD
- Neurology Physician
- Neptune Beach, FL
- NPI 1326282153
-
Andrea D. Clement, PA
- Physician Assistant
- Hastings, NE
- NPI 1427033653
-
Alisha Fangmeyer, APRN
- Family Nurse Practitioner
- Superior, NE
- NPI 1568756609
-
Teresa B Frahm, NP
- Nurse Practitioner
- Superior, NE
- NPI 1477530020
-
Matthew Gatlin, PA-C
- Physician Assistant
- Superior, NE
- NPI 1245552140
-
Michael Ayad Haboubi, D.O.
- Neurology Physician
- Tulsa, OK
- NPI 1740410117
-
Jason G Hass, P.A.
- Physician Assistant
- Superior, NE
- NPI 1831176486
-
Raymond D. Heller, M.D.
- Family Medicine Physician
- Superior, NE
- NPI 1124137039
-
Jessica Kirby, APRN, FNP-BC
- Family Nurse Practitioner
- Omaha, NE
- NPI 1588553945
-
Tara Michele Kirkpatrick, MD
- Urology Physician
- Lincoln, NE
- NPI 1518227958
-
Jennifer Marie Leiting, APRN
- Family Nurse Practitioner
- Benkelman, NE
- NPI 1407394935
-
Kendra Elizabeth Luebke
- Otolaryngology Physician
- Omaha, NE
- NPI 1669714275
-
Lillie Lueke
- Family Nurse Practitioner
- Lincoln, NE
- NPI 1831708817
-
Jaron Marriott, DO
- Internal Medicine Physician
- Oklahoma City, OK
- NPI 1396106837
-
Stephen Andrew Mikus III, D.O.
- Internal Medicine Physician
- Tulsa, OK
- NPI 1598086050
-
Blessing Afumata Nwaokolo
- Family Nurse Practitioner
- Grand Island, NE
- NPI 1164287637
-
Susan M Palmer, APRN
- Family Nurse Practitioner
- Grand Island, NE
- NPI 1497396923
-
Akash Patel, M.D
- Internal Medicine Physician
- Oklahoma City, OK
- NPI 1871858548
-
Ryan C Ramaekers, MD
- Hematology & Oncology Physician
- Grand Island, NE
- NPI 1174539936
-
Sriram Ramaswamy, MD
- Psychiatry Physician
- Omaha, NE
- NPI 1174570311
-
Amy Nicole Rempe, PA
- Physician Assistant
- Hastings, NE
- NPI 1942739131
-
Dolly Banerjee Roy, MD
- Neurology Physician
- Thousand Oaks, CA
- NPI 1053469072
-
Sravanthi Sanivarapu
- Endocrinology, Diabetes & Metabolism Physician
- Newnan, GA
- NPI 1760889737
-
Kavir Saxena, MD
- Psychiatry Physician
- Hastings, NE
- NPI 1467444588
-
Michelle Denise Schiel, APRN
- Gerontology Nurse Practitioner
- Grand Island, NE
- NPI 1427496843
-
Kenneth Stallons, M.S.
- Audiologist-Hearing Aid Fitter
- Omaha, NE
- NPI 1659546034
-
Kelly Marie Stevenson, PA-C
- Physician Assistant
- Kearney, NE
- NPI 1154634244
-
Suraj Suku, M.D.
- Neurocritical Care Physician
- Tulsa, OK
- NPI 1891833505
-
Jason David Talmadge, M.D.
- Otolaryngology Physician
- Omaha, NE
- NPI 1417394602
-
Julie A Theis, M.D.
- Family Medicine Physician
- Superior, NE
- NPI 1295712842
-
Zulfiqar Ali Turk, MD
- Neurology Physician
- Gastonia, NC
- NPI 1972794014
-
Imad Uddin, M.D.
- Internal Medicine Physician
- Tulsa, OK
- NPI 1245498906
-
Carlos Egenio Villar, MD
- Neurology Physician
- Wesley Chapel, FL
- NPI 1417921321
-
April R Vonderfecht, MD
- Family Medicine Physician
- Superior, NE
- NPI 1265178453
-
Anna Wanahita, MD
- Vascular Neurology Physician
- Tulsa, OK
- NPI 1073650537
-
Brian Westerhuis, MD
- Neurology Physician
- Rapid City, SD
- NPI 1689055428
-
Junping Yang, MD
- Endocrinology, Diabetes & Metabolism Physician
- Saint Joseph, MO
- NPI 1831120773
-
Casey Zoltenko
- Mental Health Counselor
- Superior, NE
- NPI 1942843321
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.