Tammy Brockmoller

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

115495 Issued in NE

Practice address

601 W Leota St
North Platte, NE 69101-6525

Phone

(308) 568-8000

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20827/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cozad Community Hospital

  • Rural Health Clinic/Center
  • Cozad, NE
  • NPI 1528159308

  Nurse Practitioner

  Medicare reassignment NPD
• Cozad Community Hospital

  • Critical Access Hospital
  • Cozad, NE
  • NPI 1881632883
  Medicare reassignment NPD
• North Platte Nebraska Hospital Corporation

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533
  Medicare reassignment NPD
• Cozad Community Hospital

  • Rural Health Clinic/Center
  • Eustis, NE
  • NPI 1598281016

  Nurse Practitioner

  NPD
• North Platte Nebraska Hospital Corporation

  • Medical Oncology Physician
  • North Platte, NE
  • NPI 1134355332

  Nurse Practitioner

  NPD
• Dr. Deb'S Express Medical Care

  • Emergency Medicine Physician
  • North Platte, NE
  • NPI 1609747336

  Nurse Practitioner

  NPD (past)
• Precise Family Care, PC

  • Family Nurse Practitioner
  • North Platte, NE
  • NPI 1992182620
  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1194575290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016525",
            "telephone_number": "308-568-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016525",
            "telephone_number": "308-568-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMOLLER",
        "first_name": "TAMMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "61850",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Bravo
• Sandra Jo Breach, MSW
• Alan R Brewer, MD
• Bridges Counseling Services, LLC
• Jeffrey Christopher Brittan, M.D.
• Norval Riley Brooks
• Aimee Renae Brown, PHARMD
• Caprice Brown
• Christine Brown
• Larry D Brown, EDD LMHP

• Nurse Practitioner in North Platte, NE
• Providers in North Platte, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.