Sharon A Gossman, APRN
Individual provider Active NPI Nurse Practitioner · Neligh, NE
NPI 1477539898 · NPPES record last updated Sep 22, 2010
Key facts
- NPI
- 1477539898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 110378 (NE)
- Practice address
- 109 W 11TH St
Neligh, NE 68756-1065 - Phone
- (402) 887-5440
- Fax
- (402) 887-4564
- NPI assigned
- Dec 17, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Faith Regional Physician Services LLC
Practice addresses (Care Compare)
306 L St
Suite 301
Neligh, NE 68756-1414
Phone (402) 887-1313
Hospital & facility affiliations
- Faith Health
- Antelope Memorial Hospital
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 |
|---|---|---|---|---|
| I20101008000133 | NE | Practitioner - Nurse Practitioner | 7315042686 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Interoperability endpoints
- sgossman@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 110378 | NE | Yes |
Addresses
Primary practice location
109 W 11TH St
Neligh, NE 68756-1065
Mailing address
PO Box 109
Neligh, NE 68756-0109
Phone (402) 887-5440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NE110378 | Medicaid | NE |
Other providers in Neligh, NE
- Will Joseph Fehringer
- Cathy Fiala
- Mark Funk
- Jordan W Gonzalez
- Patricia A Good
- Catherine J Gray
- Brenda Kay Halstead
- Kristin Hammon
- Mariah J Henley
- Melissa Herley
All providers in Neligh, 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 Sep 22, 2010. 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.