Jennie Edmundson Memorial Hospital
A Medicare group practice based in Council Bluffs, IA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9537064837), with 82 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9537064837
- Provider type
- Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IA
- Enrollments
- 2
- Group size
- 59 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 10
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20031201000247 | IA | Part B Supplier - Clinic/Group Practice | 1942251269 |
| O20070806000530 | IA | Part A Provider - Hospital | 1457448755 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Jennie Edmundson Memorial Hospital
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
-
Jennie Edmundson Memorial Hospital
- Emergency Medicine Physician
- Council Bluffs, IA
- NPI 1942251269
Practice locations
- Council Bluffs, IA8
- Glenwood, IA2
Clinicians 82
Clinicians who reassign their Medicare benefits to this group (82) or whom Care Compare lists as members (59).
-
Peter A. Abasolo, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1609181387
-
Lindsay Kathrine Allen, MSN, ARNP, NP-C
- Nurse Practitioner
- Council Bluffs, IA
- NPI 1336808484
-
Tracy Michelle Ander, D.O.
- Neurology Physician
- Hilliard, OH
- NPI 1801121355
-
Hilary Applequist, CNP
- Gerontology Clinical Nurse Specialist
- Cleveland, OH
- NPI 1093125536
-
Jiri Biorn Bedrnicek, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1831352046
-
Angela Benson, CRNA
- Certified Registered Nurse Anesthetist
- Council Bluffs, IA
- NPI 1245196799
-
Pavankumar Bommasamudram, M.D.
- Internal Medicine Physician
- Tulsa, OK
- NPI 1639306293
-
Jessica Bortolotti Burke, ARNP
- Nurse Practitioner
- Council Bluffs, IA
- NPI 1962171090
-
Brianne Buge, CRNA
- Certified Registered Nurse Anesthetist
- Council Bluffs, IA
- NPI 1104116813
-
Amanda Theresa Calleroz, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1598105256
-
Jolynn D Carlson, CRNA
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1437386471
-
Veronica Carrasco, MPAS, PA-C
- Physician Assistant
- Omaha, NE
- NPI 1407531817
-
Warren V Carrigan III, MD
- Neurology Physician
- Neptune Beach, FL
- NPI 1326282153
-
Emily Chavez, NP
- Nurse Practitioner
- Council Bluffs, IA
- NPI 1255229647
-
Thomas Francis Cheatle, MD
- Emergency Medicine Physician
- Council Bluffs, IA
- NPI 1750331369
-
Patrick T. Costello, M.D.
- Emergency Medicine Physician
- Council Bluffs, IA
- NPI 1952415150
-
Kara D Dostal, CRNA
- Certified Registered Nurse Anesthetist
- Council Bluffs, IA
- NPI 1588794234
-
Leah Eck, ARNP
- Family Nurse Practitioner
- Persia, IA
- NPI 1043818669
-
Jenna L. Eich, APRN
- Family Nurse Practitioner
- Omaha, NE
- NPI 1548676976
-
Meagan R Freml
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1578056669
-
Myles Gart, MD
- Anesthesiology Physician
- Norfolk, NE
- NPI 1447368964
-
John D. Gentry, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1477642205
-
Timothy John Goc, MD
- Anesthesiology Physician
- Omaha, NE
- NPI 1598873002
-
Becki M. Goldberg-Kahn, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Council Bluffs, IA
- NPI 1124101902
-
Michael Ayad Haboubi, D.O.
- Neurology Physician
- Tulsa, OK
- NPI 1740410117
-
Norma Hagans, CRNA
- Certified Registered Nurse Anesthetist
- Tucson, AZ
- NPI 1750741237
-
Nicholas C Hall
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1306256607
-
Christine Petricek Hans, MD
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1033168398
-
Heather Ann Hergott, D.O.
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1972899573
-
Karen Jean Hollinger, APRN-NP
- Nurse Practitioner
- Omaha, NE
- NPI 1194981456
-
Amanda Gail Impelluso, ARNP
- Family Nurse Practitioner
- Bellevue, NE
- NPI 1073162178
-
Tammy Marie Johnson, ARNP
- Nurse Practitioner
- Council Bluffs, IA
- NPI 1295460731
-
Jonathan L. Kilstrom, PA-C
- Physician Assistant
- Council Bluffs, IA
- NPI 1740695899
-
Shane K. Kohl, MD
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1013105899
-
Lisa K Kollasch Parker, NP
- Nurse Practitioner
- Omaha, NE
- NPI 1306897863
-
Renee S Kreifels, CRNA
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1326156258
-
Brett Kuhn, MPAS
- Surgical Physician Assistant
- North Platte, NE
- NPI 1285083337
-
Kaitlyn Leaman
- Physician Assistant
- Omaha, NE
- NPI 1215506076
-
Josephine Liess
- Physician Assistant
- Omaha, NE
- NPI 1487541074
-
Nitu Maharjan
- Nurse Practitioner
- Council Bluffs, IA
- NPI 1689393308
-
Jarret J. Maier, PA
- Physician Assistant
- Gretna, NE
- NPI 1487398293
-
Samina Mansoor, MD
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1952122541
-
Wayne Robert Markus, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1851478168
-
Jaron Marriott, DO
- Internal Medicine Physician
- Oklahoma City, OK
- NPI 1396106837
-
Stephen Andrew Mikus III, D.O.
- Internal Medicine Physician
- Tulsa, OK
- NPI 1598086050
-
Paul C. Mileris, M.D.
- Emergency Medicine Physician
- Council Bluffs, IA
- NPI 1083723134
-
Billie Miller, APRN - NP
- Nurse Practitioner
- Omaha, NE
- NPI 1770083123
-
Charles Hardy Mosher, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1164492997
-
Evan M. Neesen, MD
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1952696379
-
Diana L Nevins, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1033228051
-
Elizabeth Ann Nutty, APRN
- Family Nurse Practitioner
- Council Bluffs, IA
- NPI 1194696583
-
Jill Ogg-Gress, APRN
- Family Nurse Practitioner
- Omaha, NE
- NPI 1730278789
-
Mary Onyarin
- Nurse Practitioner
- Omaha, NE
- NPI 1700514965
-
Kelly Osborn, CRNA
- Certified Registered Nurse Anesthetist
- Fairfax, MO
- NPI 1982016754
-
Akash Patel, M.D
- Internal Medicine Physician
- Oklahoma City, OK
- NPI 1871858548
-
Deborah A Perry, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1093825929
-
Bradley James Plouzek, PA
- Physician Assistant
- Omaha, NE
- NPI 1528361367
-
Priscilla Quach, DO
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1821626318
-
Tina M. Recker-Cutshall, PA-C
- Physician Assistant
- Council Bluffs, IA
- NPI 1891805115
-
Evelyn E Reher, MD
- Hospitalist Physician
- Council Bluffs, IA
- NPI 1992759542
-
Lauren Paige Riley, NP
- Family Nurse Practitioner
- Red Oak, IA
- NPI 1851974802
-
Sarah Robinson, MD
- Anesthesiology Physician
- Portland, OR
- NPI 1437473402
-
Amanda M Rowan, CRNA
- Certified Registered Nurse Anesthetist
- Council Bluffs, IA
- NPI 1649613308
-
Leah R Rowell, PA-C
- Physician Assistant
- Omaha, NE
- NPI 1255761433
-
Sara Jane Rutter, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Baltimore, MD
- NPI 1831501188
-
Syed P. Sattar, M.D.
- Psychiatry Physician
- Omaha, NE
- NPI 1942314604
-
Valerie S Shaw, CRNA
- Certified Registered Nurse Anesthetist
- Pender, NE
- NPI 1821452251
-
Frankie K. Smith, MD
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1447810593
-
Gregory S Smith, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1982714978
-
Catherine T Stoos, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1578998654
-
Suraj Suku, M.D.
- Neurocritical Care Physician
- Tulsa, OK
- NPI 1891833505
-
Nolan Swanson, PA-C
- Physician Assistant
- Omaha, NE
- NPI 1770720997
-
Jane M. Theobald, M.D.
- Psychiatry Physician
- Omaha, NE
- NPI 1902857733
-
Alan G Torell, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1124139670
-
Tri H Tran, MD
- Anesthesiology Physician
- Council Bluffs, IA
- NPI 1881667350
-
Zulfiqar Ali Turk, MD
- Neurology Physician
- Gastonia, NC
- NPI 1972794014
-
Imad Uddin, M.D.
- Internal Medicine Physician
- Tulsa, OK
- NPI 1245498906
-
Deana Christina Vandivier, CRNA
- Certified Registered Nurse Anesthetist
- Columbia, MO
- NPI 1427236769
-
Carlos Egenio Villar, MD
- Neurology Physician
- Wesley Chapel, FL
- NPI 1417921321
-
Dallas John Vogt, CRNA
- Certified Registered Nurse Anesthetist
- Council Bluffs, IA
- NPI 1770042012
-
Anna Wanahita, MD
- Vascular Neurology Physician
- Tulsa, OK
- NPI 1073650537
-
Chelsey Lee Whalen
- Family Nurse Practitioner
- Bellevue, NE
- NPI 1972465466
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.