Amy C Bruggemann (NPI# 1972509339, PAC ID# 2860455847) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1972509339 |
| PAC ID by PECOS | 2860455847 |
| Professional Enrollment ID | I20041110000708 |
| Full Name | Amy C Bruggemann |
| Organization Legal Name | SPECIALIZED WOUND MANAGEMENT LLC |
| Address |
200 Healthcare Dr Edward A Utlaut Mem Greenville IL 62246-1154 |
| Phone Number | 6186641230 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284628173 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140145 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Health Care Dr, Greenville, IL 62246-1154 | 6186641230 | SPECIALIZED WOUND MANAGEMENT LLC |
| 200 Healthcare Dr, Edward A Utlaut Mem, Greenville, IL 62246-1154 | 6186641230 | SPECIALIZED WOUND MANAGEMENT LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 99% |
| Organization Legal Name | SPECIALIZED WOUND MANAGEMENT LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corrie B Hitzelberger | Nurse Practitioner | Specialized Wound Management LLC | 13190 S Outer 40 Rd, Chesterfield, MO 63017-5917 |
| Lisa L Tindall | Nurse Practitioner | Specialized Wound Management LLC | 200 Healthcare Dr, Edward A Utlaut Mem, Greenville, IL 62246-1154 |
| Karen J Hollinger | Nurse Practitioner | Specialized Wound Management LLC | 2305 S 10th St, Omaha, NE 68108-1108 |
| Laura C Langmack | Nurse Practitioner | Specialized Wound Management LLC | 1415 W White Oak, The Groves, Independence, MO 64050-2590 |
| Sarah C Berra | Nurse Practitioner | Specialized Wound Management LLC | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 |
| Melanie L Lapinski | Nurse Practitioner | Specialized Wound Management LLC | 13190 S Outer 40 Rd, Chesterfield, MO 63017-5917 |
| Julie Ruth Rehagen | Nurse Practitioner | Specialized Wound Management LLC | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 |
| Nicole M Manlin | Nurse Practitioner | Specialized Wound Management LLC | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 |
| Mairin J Jett | Nurse Practitioner | Specialized Wound Management LLC | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 |
| Anjanette D Stendeback | Nurse Practitioner | Specialized Wound Management LLC | 200 Healthcare Dr, Edward A Utlaut Mem, Greenville, IL 62246-1154 |
| Street Address |
200 HEALTHCARE DR EDWARD A UTLAUT MEM |
| City | GREENVILLE |
| State | IL |
| Zip | 62246-1154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Tindall | Nurse Practitioner | Specialized Wound Management LLC | 200 Healthcare Dr, Edward A Utlaut Mem, Greenville, IL 62246-1154 |
| Anjanette D Stendeback | Nurse Practitioner | Specialized Wound Management LLC | 200 Healthcare Dr, Edward A Utlaut Mem, Greenville, IL 62246-1154 |
| Melissa Laughrey | Nurse Practitioner | Specialized Wound Management LLC | 200 Healthcare Dr, Edward A Utlaut Mem, Greenville, IL 62246-1154 |
| Jodi Ahern-schoen | Clinical Social Worker | Hshs Holy Family Hospital Inc. | 200 Healthcare Dr, Greenville, IL 62246-1154 |
| Anne Elizabeth Schomaker | Clinical Social Worker | Hshs Holy Family Hospital Inc. | 200 Healthcare Dr, Greenville, IL 62246-1154 |
| Holly Earley | Clinical Social Worker | Hshs Holy Family Hospital Inc. | 200 Healthcare Dr, Greenville, IL 62246-1154 |
| Debra Ann Drury | Registered Dietitian Or Nutrition Professional | Hshs Holy Family Hospital Inc. | 200 Healthcare Dr, Greenville, IL 62246-1154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James R Goggin | Family Medicine | Fayette County Hospital District | 308 W College Ave, Greenville, IL 62246-1019 |
| Andrew S Goggin | Family Medicine | Fayette County Hospital District | 308 W College Ave, Greenville, IL 62246-1019 |
| Vaughn L Robart | Clinical Social Worker | Jubilee House Outreach | 417 W College Ave, Greenville, IL 62246-1020 |
| Melanie C Schaafsma | Clinical Social Worker | Jubilee House Outreach | 417 W College Ave, Greenville, IL 62246-1020 |
| David J Bitzer | Urology | Hshs Medical Group Inc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Steven D Donnan | Certified Registered Nurse Anesthetist (crna) | Hshs Holy Family Hospital Inc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Asim I Elmahboub | Internal Medicine | Cep America-illinois Hospitalists LLP | 200 Health Care Dr, Greenville, IL 62246-1154 |
| John R Willis | Diagnostic Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Prashanth C Shekar | Diagnostic Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Gabriel A Gigliotti | Certified Registered Nurse Anesthetist (crna) | Hshs Holy Family Hospital Inc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Find all physicians in zip 62246 | |||
| City | GREENVILLE |
| Zip Code | 62246 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GREENVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amy C Bruggemann.
| 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.