Gosnell Family Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21972 Issued in NE

Legal business name

GOSNELL FAMILY MEDICINE, PC

Practice address

210 McNeel LN
North Platte, NE 69101-6290

Phone

(308) 221-6262

Fax

(308) 221-6261

NPI assigned

Oct 16, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wendy Jo Gosnell, M.D.NPI 1235212424

Title

President/Owner

Phone

(308) 520-2694

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7862/brand/1/csg/1/fhir/r4
• Direct secure messaging: wendy.gosnell.1@7862.direct.athenahealth.com

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy Jo Gosnell, MD

  • Family Medicine Physician
  • North Platte, NE
  • NPI 1235212424
  Medicare reassignment Care Compare group NPD Authorized official
• Mary E Dailey, APRN

  • Family Nurse Practitioner
  • North Platte, NE
  • NPI 1720012776
  Medicare reassignment Care Compare group NPD
• Denice Marie Louder, APRN

  • Family Nurse Practitioner
  • North Platte, NE
  • NPI 1962275388
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1174951719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MCNEEL LN",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016290",
            "telephone_number": "308-221-6262",
            "fax_number": "308-221-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MCNEEL LN",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016290",
            "telephone_number": "308-221-6262",
            "fax_number": "308-221-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSNELL FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "GOSNELL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "308-520-2694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "21972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026366900",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wendy.gosnell.1@7862.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "210 McNeel Ln",
            "city": "North Platte",
            "state": "NE",
            "country_code": "US",
            "postal_code": "691016290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raj K Goje, M.D.
• Mollie Jo Golden, O.D.
• Sophia Rene Gomez, PA-C
• Manuelita Fatima Gonzalez
• Good Life Dental, P.C.
• John A Gosnell, O.D.
• Wendy Jo Gosnell, MD
• Nikki Rae Gracey, P.T.
• Jamie Graf
• Rosemary Jeannette Grandy

• Family Medicine Physician in North Platte, NE
• Providers in North Platte, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.