Active NPI
Tamaka K Gangwish, APRN-NP
- Family Nurse Practitioner
- Hastings, NE
National Provider Identifier
1669844916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 111929
- Practice address
- 926 E E St Ste 100
Hastings, NE 68901-6617 - Phone
- (402) 303-8802
- Fax
- (402) 487-0599
- NPI assigned
- Oct 27, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Specialist
- Miami Gardens, FL
- NPI 1881055366
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Grand Island, NE
- NPI 1508006982
-
- Clinical Medical Laboratory
- Hastings, NE
- NPI 1205442258
Hospital
-
- Rural Acute Care Hospital
- Hastings, NE
- NPI 1831203488
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Family Healthcare LLC
Practice addresses (Care Compare)
926 E E St
Suite 100
Hastings, NE 68901-6617
Phone (402) 303-8802
Hospital & facility affiliations
- Angels Care Progressive Home Health
- The Nebraska Medical Center
- Mary Lanning Healthcare
- CHI Health St. Francis
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151222000203 | NE | Practitioner - Nurse Practitioner | 9537460258 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hastings Convenient Care PC | Current | Accepting new patients | |
| Advanced Family Healthcare LLC | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Past | Accepting new patients |
Locations
926 E E St
Ste 100
Hastings, NE 68901
Phone (402) 303-8802
208 S Burlington Ave
Ste 108
Hastings, NE 68901
Phone (402) 463-6300
926 E E St
Hastings, NE 68901
Phone (402) 463-3181
Interoperability endpoints
- tammy.gangwish.1@27437.direct.athenahealth.com
- tgangwish@fmch.directbygreenway.com
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 111929 | NE | Primary |
Addresses
Primary practice location
926 E E St Ste 100
Hastings, NE 68901-6617
Mailing address
926 E E St Ste 100
Hastings, NE 68901-6617
Phone (402) 303-8802
Other names 1
- Tamaka K Pekas
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tammy.gangwish.1@27437.direct.athenahealth.com | Direct | Advanced Family Healthcare LLC |
NPI Registry JSON
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1669844916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 E E ST STE 100",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689016617",
"telephone_number": "402-303-8802",
"fax_number": "402-487-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 E E ST STE 100",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689016617",
"telephone_number": "402-303-8802",
"fax_number": "402-487-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANGWISH",
"first_name": "TAMAKA",
"middle_name": "K",
"credential": "APRN-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-27",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "111929",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tammy.gangwish.1@27437.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "Advanced Family Healthcare LLC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "926 E E St",
"city": "Hastings",
"state": "NE",
"country_code": "US",
"postal_code": "689016617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TAMAKA",
"last_name": "PEKAS",
"middle_name": "K",
"credential": "APRN-NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hastings, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.
- 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.