Sunny L Nagengast (NPI# 1386692077, PAC ID# 6901988948) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1386692077 |
PAC ID by PECOS | 6901988948 |
Professional Enrollment ID | I20080129000596 |
Full Name | Sunny L Nagengast |
Organization Legal Name | BLOOMFIELD MEDICAL CLINIC, PC |
Address |
105 S Broadway St Bloomfield NE 68718-4419 |
Phone Number | 4023734341 |
Gender | F |
Graduation Year | 1996 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5890877831 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
281331 | AVERA CREIGHTON HOSPITAL |
430012 | AVERA SACRED HEART HOSPITAL |
Address | Phone | Organization |
---|---|---|
105 S Broadway St, Bloomfield, NE 68718-4419 | 4023734341 | BLOOMFIELD MEDICAL CLINIC, PC |
Organization Legal Name | BLOOMFIELD MEDICAL CLINIC, PC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin D Lauck | Physician Assistant | Bloomfield Medical Clinic, PC | 300 N 2nd St, Bloomfield Good Samaritan Center, Bloomfield, NE 68718-3151 |
Angela B Chambers | Physician Assistant | Bloomfield Medical Clinic, PC | 300 N 2nd St, Bloomfield Good Samaritan Center, Bloomfield, NE 68718-3151 |
Street Address |
105 S BROADWAY ST |
City | BLOOMFIELD |
State | NE |
Zip | 68718-4419 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin D Lauck | Physician Assistant | Bloomfield Medical Clinic, PC | 300 N 2nd St, Bloomfield Good Samaritan Center, Bloomfield, NE 68718-3151 |
Angela B Chambers | Physician Assistant | Bloomfield Medical Clinic, PC | 300 N 2nd St, Bloomfield Good Samaritan Center, Bloomfield, NE 68718-3151 |
Mckenzie Rae Erlandson | Chiropractic | First Chiropractic Centers PC | 110 E Main St, Bloomfield, NE 68718-4408 |
City | BLOOMFIELD |
Zip Code | 68718 |
Specialty | NURSE PRACTITIONER |
City + Specialty | BLOOMFIELD + 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.