Story County Hospital
Organization Active NPI Family Medicine Physician · Nevada, IA
NPI 1023080504 · NPPES record last updated Feb 10, 2017
Key facts
- NPI
- 1023080504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- STORY COUNTY HOSPITAL
- Practice address
- 640 S 19TH St
Nevada, IA 50201-2902 - Phone
- (515) 382-5413
- Fax
- (515) 382-7107
- NPI assigned
- Feb 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kemberlee S Packer
- Title
- Credentialing Specialist
- Phone
- (515) 382-7101
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 4
Practitioners 40
-
Kara Anne Buckingham, PA-C
-
Arthur P Check, DO
-
Kelly L Check, DPM
-
Shane M Higgins, PA
-
Kennedy Laville Thoren, DNP, ARNP, PMHNP-BC
-
Jennifer L Morgan, PA-C
-
Alicia Lee Murphy, ARNP
-
Keegan Tucker Overbey, ARNP
-
Elizabeth Robbins, PA-C
-
Jyl L Wonnell, PA-C
-
Rebecca Griffon, MD
-
Katrina Hotka-Truempler, APRN
-
William K Barnhill, CRNA
-
Damiun Bassandeh, CRNA
-
Stephanie Amber Gorsuch, NURSE PRACTITIONER
-
Seth Francis Hockaday, PA-C
-
Michelle R Jans, PA-C
-
Gautam Kakade, MD
-
Melissa Ann Levering, FNP-BC, NP-C
-
Erin N. Nelson, DPM
-
Mindy Royster, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204000957 | IA | Part B Supplier - Clinic/Group Practice | 0547153884 |
Receives reassigned benefits from 39 practitioners 5 other NPIs on this enrollment Practice locations: Nevada, IA |
National Provider Directory
Locations
600 Linn St
Ste B
Slater, IA 50244
Phone (515) 685-3960
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
640 S 19TH St
Nevada, IA 50201-2902
Mailing address
640 S 19TH St
Nevada, IA 50201-2902
Phone (515) 382-5413
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48680 | Other | IA | WELLMARK BCBS |
| 0251553 | Medicaid | IA |
Other names
- Nevada Medical Clinic
Other providers in Nevada, IA
- Joel A Stam
- Megan Stemper
- Stephenson Dental Inc
- Bernie R Stephenson
- Jodie T Stokke
- Story County Hospital
- Story County Hospital
- Story County Hospital
- Story County Hospital
- Story County Hospital
All providers in Nevada, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.