Ginger Elizabeth Protzman, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Jefferson City, MO
NPI 1104376326 · NPPES record last updated Oct 12, 2016
Key facts
- NPI
- 1104376326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2016036417 (MO)
- Practice address
- 1241 W Stadium Blvd
Jefferson City, MO 65109-6023 - Phone
- (573) 635-5264
- NPI assigned
- Oct 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SSM Regional Health Services
Practice addresses (Care Compare)
140 Northstar Dr
Holts Summit, MO 65043-1123
Phone (573) 896-8301
2511 W Edgewood Dr D
SSM Health Urgent Care
Jefferson City, MO 65109-5869
Phone (573) 761-0304
2511 W Edgewood Dr G
SSM Health Med GRP Fam Medicine
Jefferson City, MO 65109-5869
Phone (573) 761-0458
Hospital & facility affiliations
- SSM Health St. Mary'S Hospital - Jefferson City
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 86.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.83
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161118000335 | MO | Practitioner - Nurse Practitioner | 9234418005 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016036417 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Regional Health Services | Current |
Accepting new patients | |
| SSM Regional Health Services | Current |
Accepting new patients | |
| SSM Regional Health Services | Current |
Accepting new patients | |
| SSM Regional Health Services | Current |
Accepting new patients | |
| Community Hospices of America LLC | Family | Past | Accepting new patients |
| SSM Regional Health Services | Past | Accepting new patients |
Locations
7655 Solutions Ctr
Chicago, IL 60677
140 Northstar Dr
Holts Summit, MO 65043
Phone (573) 826-4151
2511 W Edgewood Dr
Ste G
Jefferson City, MO 65109
Phone (573) 761-0458
2511 W Edgewood Dr
Ste D
Jefferson City, MO 65109
Phone (573) 761-0304
100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642
1241 W Stadium Blvd
#L400B
Jefferson Cty, MO 65109
Phone (573) 556-7724
1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2016036417 | MO | Yes |
Addresses
Primary practice location
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Mailing address
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone (573) 635-5264
Other providers in Jefferson City, MO
- Professional Associates
- Progressive Orthodontics LLC
- Prolab Servicse Inc
- Monika M Prost
- Prosyre, LLC
- Robert A Protzman
- Provider Plus, Inc.
- Robert Craig Pryor
- Maureen Purdy
- Pyramid Home Health Services- Jefferson City, Inc
All providers in Jefferson City, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2016. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.