Michelle Denise Bain

Individual provider Active NPI Adult Companion · Broken Bow, NE

NPI 1619786134 · NPPES record last updated Jan 8, 2025

Key facts

NPI
1619786134
Entity type
Individual (NPI type 1)
Primary specialty
Adult Companion 372600000X
Practice address
710 Kiowa LN
Broken Bow, NE 68822-2733
Phone
(308) 872-6415
NPI assigned
Dec 31, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Nebraska Individual Services, Inc Past
since Jan 5, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X Yes

Addresses

Primary practice location

710 Kiowa LN
Broken Bow, NE 68822-2733

Mailing address

710 Kiowa LN
Broken Bow, NE 68822-2733
Phone (308) 872-6415

Other names

  • Michelle Denise Plock Former name

Other providers in Broken Bow, NE

All providers in Broken Bow, NE · Adult Companion in Nebraska

Sources for this page

Verify at the official NPI Registry.