Nichelle R Horton Brown (NPI# 1154376267, PAC ID# 5193898500) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154376267 |
| PAC ID by PECOS | 5193898500 |
| Professional Enrollment ID | I20080717000782 |
| Full Name | Nichelle R Horton Brown |
| Organization Legal Name | ENDEVEREN FAMILY MEDICINE LLC |
| Address |
6663 Sorensen Pkwy Omaha NE 68152-2139 |
| Phone Number | 4024536869 |
| Gender | F |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 1456486224 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280061 | REGIONAL WEST MEDICAL CENTER |
| 280081 | CHI HEALTH IMMANUEL |
| 280013 | THE NEBRASKA MEDICAL CENTER |
| 280060 | CHI HEALTH BERGAN MERCY |
| Address | Phone | Organization |
|---|---|---|
| 6663 Sorensen Pkwy, Omaha, NE 68152-2139 | 4024536869 | ENDEVEREN FAMILY MEDICINE LLC |
| Organization Legal Name | ENDEVEREN FAMILY MEDICINE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy M Shupe | Nurse Practitioner | Endeveren Family Medicine LLC | 3015 N 90th St, Suite 1, Omaha, NE 68134-4713 |
| Street Address |
6663 SORENSEN PKWY |
| City | OMAHA |
| State | NE |
| Zip | 68152-2139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl R Felix | Clinical Social Worker | 6502 Sorensen Pkwy, Omaha, NE 68152-2138 | |
| Jo Lynn Coles | Clinical Social Worker | Center for Holistic Development Inc | 6502 Sorensen Pkwy, Omaha, NE 68152-2138 |
| Donna L Stewart | Clinical Psychologist | Center for Holistic Development Inc | 6502 Sorensen Pkwy, Omaha, NE 68152-2138 |
| Joseph Edmund Kent | Psychiatry | Alegent Creighton Health | 7101 Newport Ave, Omaha, NE 68152-2164 |
| Crystal Reyelts | Psychiatry | Alegent Creighton Health | 7101 Newport Ave, Omaha, NE 68152-2164 |
| Roberto Francisco Cervantes | Psychiatry | Alegent Creighton Health | 7101 Newport Ave, Omaha, NE 68152-2164 |
| Ivory L Welbourn | Clinical Social Worker | Alegent Creighton Health | 7101 Newport Ave, Omaha, NE 68152-2164 |
| Hasnain J Sadiq | Psychiatry | Alegent Creighton Health | 7101 Newport Ave, Omaha, NE 68152-2164 |
| Vijay K Dewan | Psychiatry | Alegent Creighton Health | 7101 Newport Ave, Omaha, NE 68152-2164 |
| Lilly M Stoller | Psychiatry | Alegent Creighton Health | 7101 Newport Ave, Omaha, NE 68152-2164 |
| Find all physicians in zip 68152 | |||
| City | OMAHA |
| Zip Code | 68152 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | OMAHA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Nichelle R Horton Brown.
| 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.