Michaela A Gulzow, APRN
Individual provider Active NPI Nurse Practitioner · Ainsworth, NE
NPI 1104486992 · NPPES record last updated Oct 12, 2021
Key facts
- NPI
- 1104486992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 112847 (NE)
- Practice address
- 945 E Zero St
Ainsworth, NE 69210-1556 - Phone
- (402) 387-2800
- Fax
- (402) 387-2804
- NPI assigned
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Mary Lanning Memorial Hospital Association
Practice addresses (Care Compare)
715 N Saint Joseph Ave
Mary Lanning Healthcare
Hastings, NE 68901-4451
Phone (402) 463-4521
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- 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 |
|---|---|---|---|---|
| I20190729002655 | NE | Practitioner - Nurse Practitioner | 0648506618 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mary Lanning Memorial Hospital Association | Current |
Accepting new patients | |
| The Mary Lanning Memorial Hospital Association | Current |
Accepting new patients |
Locations
715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036
Interoperability endpoints
- mgulzow370294@direct.nebraskamed.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 112847 | NE | Yes |
Addresses
Primary practice location
945 E Zero St
Ainsworth, NE 69210-1556
Mailing address
945 E Zero St
Ainsworth, NE 69210-1556
Phone (402) 387-2800
Other names
- Michaela A Ostdiek
Other providers in Ainsworth, NE
- Five Star Quality Care - NE, LLC Dba Ainsworth Care Center
- Ronald L Fuller
- Hillary M Goodwin
- Teresa K Goshorn
- Kwynn Meagan Gracey
- Susan Haskell
- Heartland Counseling Services, Inc.
- Jenee' L. Hill
- Catherine A Hinrichs
- Chelsea Hladky
All providers in Ainsworth, NE · Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2021. 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.