NPIMap

Providence Medical Center

A Medicare group practice based in Wayne, NE: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 4587629928), with 57 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4587629928The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Critical Access Hospital, Part A Provider - Home Health Agency, Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
NE
Enrollments
7
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 3 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20041124000342 NE Part B Supplier - Clinic/Group Practice 1801867494
O20071129000010 NE Part A Provider - Critical Access Hospital 1801867494
O20070223000414 NE Part A Provider - Home Health Agency 1003971748
O20070223000269 NE Part A Provider - Hospice 1639218472
O20090619000444 NE Part A Provider - Critical Access Hospital 1255470092
O20191031001385 NE Part B Supplier - Pharmacy 1457819922
O20200526000608 NE DME Supplier - Pharmacy 1457819922

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 57

Clinicians who reassign their Medicare benefits to this group (57) or whom Care Compare lists as members (11).

Sources for this page