Kelli Marie Nash (NPI# 1750941183, PAC ID# 6709111677) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1750941183 |
PAC ID by PECOS | 6709111677 |
Professional Enrollment ID | I20190715002179 |
Full Name | Kelli Marie Nash |
Organization Legal Name | GREAT PLAINS OF ELLINWOOD INC |
Address |
605 N Main Ellinwood KS 67526-1440 |
Phone Number | 6205642548 |
Gender | F |
Graduation Year | 2019 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5092627539 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
171301 | ELLINWOOD DISTRICT HOSPITAL |
Address | Phone | Organization |
---|---|---|
605 N Main, Ellinwood, KS 67526-1440 | 6205642548 | GREAT PLAINS OF ELLINWOOD INC |
Organization Legal Name | GREAT PLAINS OF ELLINWOOD INC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robin D Durrett | General Practice | Great Plains of Ellinwood Inc | 605 N Main, Ellinwood, KS 67526-1440 |
Debra Wolfe | Nurse Practitioner | Great Plains of Ellinwood Inc | 605 N Main, Ellinwood, KS 67526-1440 |
Brandon James Bailey | Nurse Practitioner | Great Plains of Ellinwood Inc | 605 N Main, Ellinwood, KS 67526-1440 |
Diane E Haines | Nurse Practitioner | Great Plains of Ellinwood Inc | 605 N Main, Ellinwood, KS 67526-1440 |
Christopher M Brown | Family Medicine | Great Plains of Ellinwood Inc | 605 N Main, Ellinwood, KS 67526-1440 |
Charlie G Joslin | Family Medicine | Great Plains of Ellinwood Inc | 605 N Main, Ellinwood, KS 67526-1440 |
Street Address |
605 N MAIN |
City | ELLINWOOD |
State | KS |
Zip | 67526-1440 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robin D Durrett | General Practice | Great Plains of Ellinwood Inc | 605 N Main, Ellinwood, KS 67526-1440 |
Debra Wolfe | Nurse Practitioner | Great Plains of Ellinwood Inc | 605 N Main, Ellinwood, KS 67526-1440 |
Brandon James Bailey | Nurse Practitioner | Great Plains of Ellinwood Inc | 605 N Main, Ellinwood, KS 67526-1440 |
Diane E Haines | Nurse Practitioner | Great Plains of Ellinwood Inc | 605 N Main, Ellinwood, KS 67526-1440 |
Christopher M Brown | Family Medicine | Great Plains of Ellinwood Inc | 605 N Main, Ellinwood, KS 67526-1440 |
Charlie G Joslin | Family Medicine | Great Plains of Ellinwood Inc | 605 N Main, Ellinwood, KS 67526-1440 |
Name | Specialty | Organization | Address |
---|---|---|---|
Aaron D Sauer | Chiropractic | 6 N Main St, Ellinwood, KS 67526-1638 |
City | ELLINWOOD |
Zip Code | 67526 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ELLINWOOD + NURSE PRACTITIONER |
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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.