Nurelign G. Abebe, M.D.
Individual provider Active NPI Nephrology Physician · Rolla, MO
NPI 1154587038 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1154587038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 2011018206 (MO)
- Practice address
- 1050 West 10TH Street
Rolla, MO 65401 - Phone
- (573) 364-9000
- Fax
- (573) 458-8489
- NPI assigned
- Jul 31, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 21
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Phelps County Regional Medical Center
Pcrmc Medical Group Inc
Practice addresses (Care Compare)
1000 GW LN
Waynesville, MO 65583-2339
Phone (573) 774-2715
1000 N Jefferson St
Saint James, MO 65559-1078
Phone (573) 265-8840
1050 W 10TH St
Suite 510
Rolla, MO 65401-2905
Phone (573) 364-9000
700 Birch LN
Waynesville, MO 65583-2275
Phone (573) 774-6456
Hospital & facility affiliations
- FKC Phelps County
- DaVita Rolla Home Training
- DaVita Rolla Dialysis
- Phelps County Regional Medical Center
- Texas County Memorial Hospital
- Salem Memorial District Hospital
- Mercy Hospital Lebanon
- Mercy Hospital Springfield
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110601000647 | MO | Practitioner - Nephrology |
3173700077 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011018206 | MO | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phelps County Regional Medical Center | Current |
Accepting new patients | |
| Cole Physician Services LLC | Hospitalist | Current |
Accepting new patients |
| Pcrmc Medical Group, Inc | Nephrology | Current | Accepting new patients |
| Phelps County Regional Medical Center | Current |
Accepting new patients | |
| Phelps County Regional Medical Center | Current |
Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
620 E Monroe St
Mexico, MO 65265
Phone (573) 582-5000
1050 W 10th St
Ste 510
Rolla, MO 65401
Phone (573) 426-2229
1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1050 W 10th St
Ste 430
Rolla, MO 65401
Phone (573) 364-9000
1000 Gw Ln
Waynesville, MO 65583
Phone (573) 774-2715
Interoperability endpoints
- nabebe152713@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2011018206 | MO | |
| Nephrology Physician | 207RN0300X | 2011018206 | MO | Yes |
Addresses
Primary practice location
1050 West 10TH Street
Rolla, MO 65401
Mailing address
1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000
Other practice location 1
1000 Gw Ln
Waynesville, MO 65583-2339
Phone (573) 774-2715
Other practice location 2
1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 364-9000
Other practice location 3
1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-7639
Other providers in Rolla, MO
- 1 Wellness, LLC
- A-1 Hearing Aid Service LLC
- Raleigh Abell
- Access Dental Services LP
- Laura Adams
- Addus Health Care Inc
- Addus Health Care Inc
All providers in Rolla, MO · Nephrology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. 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.