Michelle Van Der Wege (NPI# 1700236114, PAC ID# 4981998630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1700236114 |
| PAC ID by PECOS | 4981998630 |
| Professional Enrollment ID | I20160803002552 |
| Full Name | Michelle Van Der Wege |
| Organization Legal Name | FIRST CARE CLINIC INC |
| Address |
208 Marc Wagner Dr Victoria KS 67671-9589 |
| Phone Number | 7857353710 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820149834 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170013 | HAYS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 105 W 13th St, Hays, KS 67601-3082 | 785621499023 | FIRST CARE CLINIC INC |
| 208 Marc Wagner Dr, Victoria, KS 67671-9589 | 7857353710 | FIRST CARE CLINIC INC |
| Organization Legal Name | FIRST CARE CLINIC INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn N Knapp | Nurse Practitioner | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Jillian M Kuhlmann | Nurse Practitioner | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Susan K Pfannenstiel | Nurse Practitioner | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Anne N Spray | Nurse Practitioner | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Kala I Hillery | Nurse Practitioner | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Christine M Fisher | Family Medicine | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Tosha D Garrison | Nurse Practitioner | First Care Clinic Inc | 105 W 13th St, Hays, KS 67601-3082 |
| Christopher L Lundberg | Family Practice | First Care Clinic Inc | 208 Marc Wagner Dr, Victoria, KS 67671-9589 |
| Street Address |
208 MARC WAGNER DR |
| City | VICTORIA |
| State | KS |
| Zip | 67671-9589 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher L Lundberg | Family Practice | First Care Clinic Inc | 208 Marc Wagner Dr, Victoria, KS 67671-9589 |
| City | VICTORIA |
| Zip Code | 67671 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | VICTORIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michelle Van Der Wege.
| 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.