NPIMap

Individual provider Active NPI

Monica Rachelle Patin, PA-C

  • Medical Physician Assistant
  • Ogallala, NE
National Provider Identifier
1790789667
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1180 Issued in NE
Practice address
2601 N Spruce St
Ogallala, NE 69153-2465
Phone
(308) 284-3645
Fax
(308) 284-2721
NPI assigned
Jun 9, 2005
Last updated
Jun 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1180 NE Primary

Addresses

Primary practice location

2601 N Spruce St
Ogallala, NE 69153-2465

Mailing address

2601 N Spruce St.
Ogallala, NE 69153
Phone (308) 284-3645

Other identifiers 1

IdentifierTypeStateIssuer
47055808700MedicaidNE

Other names 1

  • Monica Rachelle Slama Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000868 NE Practitioner - Physician Assistant 8224081237 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

516 W Leota St
Great Plains Health Rheumatology
North Platte, NE 69101-6533
Phone (308) 568-4800

601 W Leota St
North Platte, NE 69101-6525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1180NEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation CurrentSince May 20, 2021 Accepting new patients
Ogallala Community Hospital CurrentSince Jan 2, 2008 Accepting new patients
Twin Rivers Urgent Care LLC CurrentSince Jul 6, 2017 Accepting new patients
Great Plains Radiology LLC PastSince May 16, 2021 Accepting new patients
North Platte Nebraska Hospital Corporation Past Accepting new patients

Locations

720 N Webb Rd
Grand Island, NE 68803
Phone (308) 384-2500

3203 Osborne Dr W
Ste 101
Hastings, NE 68901
Phone (308) 384-2500

516 W Leota St
North Platte, NE 69101
Phone (308) 534-5370

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

2601 N Spruce St
Ogallala, NE 69153
Phone (308) 284-3645

2601 N Spruce St
#A
Ogallala, NE 69153
Phone (308) 284-4011

Interoperability endpoints

  • Direct secure messaging: mpatin102447@direct.nebraskamed.com

Organizations & group practices 7

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 6

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1790789667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N SPRUCE ST.",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "69153",
            "telephone_number": "308-284-3645",
            "fax_number": "308-284-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N SPRUCE ST",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691532465",
            "telephone_number": "308-284-3645",
            "fax_number": "308-284-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIN",
        "first_name": "MONICA",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055808700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "SLAMA",
            "middle_name": "RACHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ogallala, NE

Sources for this page

Verify at the official NPI Registry.