Nicolle L Medina (NPI# 1528150661, PAC ID# 9234157496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1528150661 |
| PAC ID by PECOS | 9234157496 |
| Professional Enrollment ID | I20051108000047 |
| Full Name | Nicolle L Medina |
| Organization Legal Name | COMMUNITY HEALTH CENTER OF FORT DODGE, INC. |
| Address |
404 N Federal Ave Community Health Center of Mason City Mason City IA 50401-3214 |
| Phone Number | 6419033293 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557378627 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160064 | MERCY MEDICAL CENTER-NORTH IOWA |
| Address | Phone | Organization |
|---|---|---|
| 404 N Federal Ave, Community Health Center of Mason City, Mason City, IA 50401-3214 | 6419033293 | COMMUNITY HEALTH CENTER OF FORT DODGE, INC. |
| Organization Legal Name | COMMUNITY HEALTH CENTER OF FORT DODGE, INC. |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Ogea | Clinical Social Worker | Community Health Center of Fort Dodge, Inc. | 404 N Federal Ave, Community Health Center of Mason City, Mason City, IA 50401-3214 |
| Lisa K Chase | Nurse Practitioner | Community Health Center of Fort Dodge, Inc. | 126 N 10th St, Fort Dodge, IA 50501-3915 |
| Deborah L Price | Nurse Practitioner | Community Health Center of Fort Dodge, Inc. | 404 N Federal Ave, Community Health Center of Mason City, Mason City, IA 50401-3214 |
| Ann M Feser | Nurse Practitioner | Community Health Center of Fort Dodge, Inc. | 126 N 10th St, Fort Dodge, IA 50501-3915 |
| Kendra S Ulicki | Nurse Practitioner | Community Health Center of Fort Dodge, Inc. | 24 S Main St, Community Health Center of Dayton, Dayton, IA 50530-7698 |
| Taylor L Stille | Nurse Practitioner | Community Health Center of Fort Dodge, Inc. | 404 N Federal Ave, Community Health Center of Mason City, Mason City, IA 50401-3214 |
| Robert E Joneson | Psychologist, Clinical | Community Health Center of Fort Dodge, Inc. | 404 N Federal Ave, Community Health Center of Mason City, Mason City, IA 50401-3214 |
| Angela J Mcgregor | Nurse Practitioner | Community Health Center of Fort Dodge, Inc. | 126 N 10th St, Fort Dodge, IA 50501-3915 |
| Holly A Mcclintock | Nurse Practitioner | Community Health Center of Fort Dodge, Inc. | 126 N 10th St, Fort Dodge, IA 50501-3915 |
| Lynzy M Devary | Nurse Practitioner | Community Health Center of Fort Dodge, Inc. | 126 N 10th St, Fort Dodge, IA 50501-3915 |
| Street Address |
404 N FEDERAL AVE COMMUNITY HEALTH CENTER OF MASON CITY |
| City | MASON CITY |
| State | IA |
| Zip | 50401-3214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Ogea | Clinical Social Worker | Community Health Center of Fort Dodge, Inc. | 404 N Federal Ave, Community Health Center of Mason City, Mason City, IA 50401-3214 |
| Deborah L Price | Nurse Practitioner | Community Health Center of Fort Dodge, Inc. | 404 N Federal Ave, Community Health Center of Mason City, Mason City, IA 50401-3214 |
| Taylor L Stille | Nurse Practitioner | Community Health Center of Fort Dodge, Inc. | 404 N Federal Ave, Community Health Center of Mason City, Mason City, IA 50401-3214 |
| Robert E Joneson | Psychologist, Clinical | Community Health Center of Fort Dodge, Inc. | 404 N Federal Ave, Community Health Center of Mason City, Mason City, IA 50401-3214 |
| Helen H Retleff | Nurse Practitioner | Community Health Center of Fort Dodge, Inc. | 404 N Federal Ave, Community Health Center of Mason City, Mason City, IA 50401-3214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeannie M Giordano-shanks | Clinical Social Worker | Prairie Ridge Integrated Behavioral Healthcare | 320 N Eisenhower Ave, Mason City, IA 50401-1521 |
| Marc Joseph Romano | Nurse Practitioner | Prairie Ridge Integrated Behavioral Healthcare | 320 N Eisenhower Ave, Mason City, IA 50401-1521 |
| Debra K Groath | Nurse Practitioner | Prairie Ridge Integrated Behavioral Healthcare | 320 N Eisenhower Ave, Mason City, IA 50401-1521 |
| Daniel D Watts | Nurse Practitioner | Prairie Ridge Integrated Behavioral Healthcare | 320 N Eisenhower Ave, Mason City, IA 50401-1521 |
| Ashley R Heffern | Clinical Social Worker | Prairie Ridge Integrated Behavioral Healthcare | 320 N Eisenhower Ave, Mason City, IA 50401-1521 |
| Mark C Johnson | Endocrinology | North Iowa Mercy Clinics | 910 N Eisenhower Ave, Mercyone Diabetes Care, Mason City, IA 50401-1525 |
| Jeremiah L Nelson | Endocrinology | North Iowa Mercy Clinics | 910 N Eisenhower Ave, Mercyone Diabetes Care, Mason City, IA 50401-1525 |
| Yuvaraj Thangaraj | Nephrology | North Iowa Mercy Clinics | 910 N Eisenhower Ave, Mercyone Weight Loss Center, Mason City, IA 50401-1525 |
| Erin C Peterson | Physical Medicine and Rehabilitation | North Iowa Mercy Clinics | 910 N Eisenhower Ave, Mason City, IA 50401-1525 |
| Harpreet Kaur | Endocrinology | North Iowa Mercy Clinics | 910 N Eisenhower Ave, Mercyone Diabetes Care, Mason City, IA 50401-1525 |
| Find all physicians in zip 50401 | |||
| City | MASON CITY |
| Zip Code | 50401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MASON CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nicolle L Medina.
| 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.