Individual provider Active NPI

Wendy Jo Gosnell, MD

  • Family Medicine Physician
  • North Platte, NE
National Provider Identifier
1235212424
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21972 Issued in NE
Practice address
210 McNeel LN
North Platte, NE 69101-6290
Phone
(308) 221-6262
Fax
(308) 221-6261
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21972 NE Primary

Addresses

Primary practice location

210 McNeel LN
North Platte, NE 69101-6290

Mailing address

PO Box 12855
Belfast, ME 04915-4019
Phone (617) 402-1000

Other identifiers 1

IdentifierTypeStateIssuer
10026366900MedicaidNE

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000127 NE Practitioner - Family Practice 0244397446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gosnell Family Medicine PCGroup PAC ID 6709015134, 3 clinicians

Practice addresses (Care Compare)

601 W Leota
North Platte, NE 69101-6525
Phone (308) 696-8000

Hospital & facility affiliations

  • Brookestone Home Health & Hospice Home health agency, North Platte, NE, CCN 287020
  • Angels Care Progressive Home Health Home health agency, Grand Island, NE, CCN 287144
  • Great Plains Health Hospital, North Platte, NE, CCN 280065
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Linden Court Nursing home, North Platte, NE, CCN 285083
  • Accura HealthCare of North Platte Nursing home, North Platte, NE, CCN 285165
  • Adept Nursing & Rehab of North Platte Nursing home, North Platte, NE, CCN 285094

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21972NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gosnell Family Medicine, PC Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
North Platte Nebraska Hospital Corporation Past Accepting new patients

Locations

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

210 McNeel Ln
North Platte, NE 69101
Phone (308) 221-6262

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

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1235212424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12855",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154019",
            "telephone_number": "617-402-1000",
            "fax_number": "888-864-4428"
        },
        {
            "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": {
        "last_name": "GOSNELL",
        "first_name": "WENDY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "21972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026366900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.