Individual provider Active NPI

Nancy Clearkin Germany, MD

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1760418131
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
020120 Issued in LA
Practice address
1860 Fairfield Ave
Shreveport, LA 71101-4431
Phone
(318) 675-1313
Fax
(318) 675-1319
NPI assigned
Jun 25, 2006
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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 020120 LA Primary

Addresses

Primary practice location

1860 Fairfield Ave
Shreveport, LA 71101-4431

Mailing address

1860 Fairfield Ave
Shreveport, LA 71101-4431
Phone (318) 675-1313

Other identifiers 1

IdentifierTypeStateIssuer
1388149MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040917001059 LA Practitioner - General Practice 4789652728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Louisiana State University School of Medicine in Shreveport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Spine and Pain SpecialistsGroup PAC ID 0547569840, 12 clinicians

Practice addresses (Care Compare)

1811 E Bert Kouns Industrial Loop
Suite 300
Shreveport, LA 71105-5751
Phone (318) 212-7960

2449 Hospital Dr
Suite 300
Bossier City, LA 71111-1910
Phone (318) 212-7960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020120LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Spine & Pain Specialists CurrentSince Nov 1, 2018 Accepting new patients

Locations

2449 Hospital Dr
Ste 300
Bossier City, LA 71111
Phone (318) 212-3636

1811 E Bert Kouns Industrial Loop
Ste 300
Shreveport, LA 71105
Phone (318) 212-3636

Interoperability endpoints

  • Direct secure messaging: ngermany@direct.wkhs.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1760418131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014431",
            "telephone_number": "318-675-1313",
            "fax_number": "318-675-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014431",
            "telephone_number": "318-675-1313",
            "fax_number": "318-675-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMANY",
        "first_name": "NANCY",
        "middle_name": "CLEARKIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "020120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1388149",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.