Jennie M Melham Memorial Medical Center Inc
A Medicare group practice based in Broken Bow, NE: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 5799766440), with 40 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5799766440
- Provider type
- Part A Provider - Critical Access Hospital, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NE
- Enrollments
- 3
- Group size
- 8 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 3
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040527000928 | NE | Part B Supplier - Clinic/Group Practice | 1366659773 |
| O20071129000446 | NE | Part A Provider - Critical Access Hospital | 1538232244 |
| O20071129000462 | NE | Part A Provider - Critical Access Hospital | 1982779641 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Jennie M Melham Memorial Medical Center Inc
- Certified Registered Nurse Anesthetist
- Broken Bow, NE
- NPI 1366659773
-
Jennie M Melham Memorial Medical Center Inc
- Critical Access Hospital
- Broken Bow, NE
- NPI 1538232244
-
Jennie M Melham Memorial Medical Center Inc
- Critical Access Hospital
- Broken Bow, NE
- NPI 1982779641
-
Jennie M Melham Memorial Medical Center
- Durable Medical Equipment & Medical Supplies
- Broken Bow, NE
- NPI 1265507677
Practice locations
- Broken Bow, NE3
Clinicians 40
Clinicians who reassign their Medicare benefits to this group (39) or whom Care Compare lists as members (8).
-
Alyxandra Nicole Baker, DO
- Family Medicine Physician
- Lincoln, NE
- NPI 1356910087
-
Melinda S Barratt, DO
- Family Medicine Physician
- Broken Bow, NE
- NPI 1225121361
-
Richard A Blum, PA-C
- Medical Physician Assistant
- Beatrice, NE
- NPI 1306968292
-
Thomas Vernon Connely, MD
- Otolaryngology Physician
- Kearney, NE
- NPI 1669462305
-
Paul Thrasher Denna, M.D.
- Family Medicine Physician
- Aberdeen, SD
- NPI 1376838839
-
Thomas A Derby Jr., DO
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1447719430
-
John C Evans, CRNA
- Certified Registered Nurse Anesthetist
- Broken Bow, NE
- NPI 1144320144
-
Brian J Finley, MD
- Family Medicine Physician
- Bellevue, NE
- NPI 1144278482
-
Edward M Ford, M.D.
- Family Medicine Physician
- Lexington, NE
- NPI 1265476741
-
John M Ford, M.D.
- Family Medicine Physician
- Lexington, NE
- NPI 1174567572
-
Wade Fornander, M.D.
- Family Medicine Physician
- Lincoln, NE
- NPI 1053383554
-
Gary J Gustafson, M.D.
- Emergency Medicine Physician
- Omaha, NE
- NPI 1881700326
-
Jenscena Hansen, DNP
- Family Nurse Practitioner
- Broken Bow, NE
- NPI 1164269304
-
Angie Marie Hunt, PA-C
- Physician Assistant
- Broken Bow, NE
- NPI 1134510803
-
Timothy Bart Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Broken Bow, NE
- NPI 1588764583
-
Robert R Kahnk, MD
- Family Medicine Physician
- Broken Bow, NE
- NPI 1366544033
-
Jacob D Karmazin, PA-C
- Physician Assistant
- Broken Bow, NE
- NPI 1811311921
-
Anne Marie Kennedy, D.O
- Family Medicine Physician
- Offutt AFB, NE
- NPI 1932558327
-
Shawn S Lawrence, MD
- Family Medicine Physician
- Broken Bow, NE
- NPI 1154414290
-
Brett R Lindau, DO
- Family Medicine Physician
- Broken Bow, NE
- NPI 1114153384
-
Julie A Lindstrom, D.O.
- Family Medicine Physician
- Broken Bow, NE
- NPI 1528098407
-
David A Minnick, MD
- Family Medicine Physician
- Missouri Valley, IA
- NPI 1891897997
-
Derek Peckham, DO
- Emergency Medicine Physician
- Hays, KS
- NPI 1386374163
-
Jacob Christopher Peterson, M.D.
- Family Medicine Physician
- Holdrege, NE
- NPI 1679954028
-
Garrett D Pohlman, M.D.
- Urology Physician
- Kearney, NE
- NPI 1437378171
-
Jami Pritschau, M.D.
- Family Medicine Physician
- Kearney, NE
- NPI 1134658925
-
Tracy D Ray, PA-C
- Physician Assistant
- Sidney, NE
- NPI 1447388608
-
Abby E Richardson, MD
- Family Medicine Physician
- Kearney, NE
- NPI 1699115394
-
Jeffrey Aaron Salisbury, MD
- Emergency Medicine Physician
- Klamath Falls, OR
- NPI 1891732277
-
Cameron L Sidak, M.D.
- Family Medicine Physician
- Osceola, NE
- NPI 1639326788
-
Jeremy Karl Stone, DO
- Vascular & Interventional Radiology Physician
- Omaha, NE
- NPI 1972241701
-
James Leahy Sullivan, MD
- Family Medicine Physician
- Omaha, NE
- NPI 1538154141
-
Katie Thompson, MD
- Family Medicine Physician
- Hastings, NE
- NPI 1295199792
-
Yohanes T. Tot, PA-C
- Physician Assistant
- Sidney, NE
- NPI 1386082782
-
Bradley J Vasa, MD
- Family Medicine Physician
- Nebraska City, NE
- NPI 1356359681
-
Thomas Vinton, MD
- Family Medicine Physician
- Omaha, NE
- NPI 1184688939
-
James Watson, MD
- Family Medicine Physician
- Offutt AFB, NE
- NPI 1689103384
-
Alexandra Weaver, MD
- Family Medicine Physician
- Longmont, CO
- NPI 1821322652
-
Scott Wewel, MD
- Family Medicine Physician
- Kansas City, KS
- NPI 1487090056
-
Hallee Elaine Williams
- Physician Assistant
- Broken Bow, NE
- NPI 1891659793
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.