Ricky Don Kellenberger (NPI# 1700864568, PAC ID# 1456340868) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700864568 |
| PAC ID by PECOS | 1456340868 |
| Professional Enrollment ID | I20040511000462 |
| Full Name | Ricky Don Kellenberger |
| Organization Legal Name | NEVADA CITY HOSPITAL |
| Address |
800 S Ash St Nevada MO 64772-3223 |
| Phone Number | 4176673355 |
| Gender | M |
| Credential | DO |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9830095280 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260061 | NEVADA REGIONAL MEDICAL CENTER |
| 170006 | VIA CHRISTI HOSPITAL PITTSBURG INC |
| Address | Phone | Organization |
|---|---|---|
| 202 State St A, Fort Scott, KS 66701-2031 | 6202233950 | FORT SCOTT FAMILY MEDICINE PA |
| 800 S Ash St, Nevada, MO 64772-3223 | 4176673355 | NEVADA CITY HOSPITAL |
| 900 S Adams St, Nevada, MO 64772-3210 | 4176676015 | NEVADA MEDICAL CLINIC L.L.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 96% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 3% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 9% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 48% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 7% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 90% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% |
| Organization Legal Name | NEVADA CITY HOSPITAL |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin M Wilson | Family Medicine | Nevada City Hospital | 627 S Ash St B, Nevada Regional Primary Care, Nevada, MO 64772-3279 |
| Joseph T Dodd | General Surgery | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| John Michael Loney | Emergency Medicine | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| James D Obrien | Emergency Medicine | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| Mark E Stewart | Psychiatry | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| Kiana D Long | Family Medicine | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| Valerie M Dawson | Nurse Practitioner | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| John F Lange | Internal Medicine | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| Ashley M Olson | Emergency Medicine | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| William A Turner | General Surgery | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| Street Address |
800 S ASH ST |
| City | NEVADA |
| State | MO |
| Zip | 64772-3223 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph T Dodd | General Surgery | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| John Michael Loney | Emergency Medicine | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| James D Obrien | Emergency Medicine | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| Mark E Stewart | Psychiatry | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| Kiana D Long | Family Medicine | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| Valerie M Dawson | Nurse Practitioner | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| John F Lange | Internal Medicine | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| Ashley M Olson | Emergency Medicine | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| William A Turner | General Surgery | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| Scott Alan Compton | Orthopedic Surgery | Nevada City Hospital | 800 S Ash St, Nevada, MO 64772-3223 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley M Ledom | Psychologist, Clinical | 700 E Highland Ave, Nevada, MO 64772-1025 | |
| Gary A Kurtz | Chiropractic | 1804 N Ash St, Nevada, MO 64772-1110 | |
| David L Neidel | Clinical Social Worker | 100 S Prewitt, Nevada, MO 64772-1760 | |
| Robert F Ingegneri | Psychologist, Clinical | 300 W Cherry St, Nevada, MO 64772-2202 | |
| Mark Harvey Comensky | Psychologist, Clinical | 300 W Cherry St, Nevada, MO 64772-2202 | |
| Jeremy Michael Fast | Optometry | Eyecare Professionals Inc | 111 N Main St, Nevada, MO 64772-2330 |
| Delton L Fast | Optometry | Eyecare Professionals Inc | 111 N Main St, Nevada, MO 64772-2330 |
| Nathan S Box | Otolaryngology | Freeman-oak Hill Health System | 216 N Main, Freeman Heart Institute, Nevada, MO 64772-2332 |
| Russell R Kemm | Family Medicine | 216 N Main, Nevada, MO 64772-2332 | |
| Linda Davidson | Psychologist, Clinical | 212 N Main St, Nevada, MO 64772-2332 | |
| Find all physicians in zip 64772 | |||
| City | NEVADA |
| Zip Code | 64772 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEVADA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ricky Don Kellenberger.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.