Megan D Nystrom (NPI# 1255522215, PAC ID# 9931346749) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1255522215 |
| PAC ID by PECOS | 9931346749 |
| Professional Enrollment ID | I20130520000398 |
| Full Name | Megan D Nystrom |
| Organization Legal Name | ODLAND FAMILY PRACTICE CLINIC, LLC |
| Address |
950 E Bogard Rd Suite 234 Wasilla AK 99654-7185 |
| Phone Number | 9073730850 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8022255835 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020006 | MAT-SU REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 950 E Bogard Rd, Suite 234, Wasilla, AK 99654-7185 | 9073730850 | ODLAND FAMILY PRACTICE CLINIC, LLC |
| Organization Legal Name | ODLAND FAMILY PRACTICE CLINIC, LLC |
| Physicians | 1 |
| Street Address |
950 E BOGARD RD SUITE 234 |
| City | WASILLA |
| State | AK |
| Zip | 99654-7185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Neves George | Nurse Practitioner | John C Boston Do PC | 950 E Bogard Rd, Suite 228, Wasilla, AK 99654-7185 |
| Duane I Odland | Family Medicine | 950 E Bogard Rd, Suite 234, Wasilla, AK 99654-7185 | |
| Patricia Beth Payne | Nurse Practitioner | John C Boston Do PC | 950 E Bogard Rd, Suite 228, Wasilla, AK 99654-7185 |
| Elliott Bruce Gagnon | Plastic and Reconstructive Surgery | 950 E Bogard Rd, Suite 209, Wasilla, AK 99654-7172 | |
| Rachel Adams | Nurse Practitioner | Mat-su Valley Medical Center LLC | 950 E Bogard Rd, Wasilla, AK 99654-7184 |
| John C Boston | Internal Medicine | John C Boston Do PC | 950 E Bogard Rd, Suite 228, Wasilla, AK 99654-7185 |
| Valerie Clark | Nurse Practitioner | Mat-su Valley IIi LLC | 950 E Bogard Rd, Wasilla, AK 99654-7172 |
| Michael Michaud | Physician Assistant | Mat-su Valley IIi LLC | 950 E Bogard Rd, Wasilla, AK 99654-7172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blaine G Upham | Chiropractic | 5461 E Mayflower Lane, Suite 6, Wasilla, AK 99654 | |
| Jeffrey A Lepage | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Trisha M Magee | Physical Therapy | Health Quest Therapy Inc | Mile 4, Wasilla, AK 99654 |
| Marlys F Bryan | Physical Therapy | Health Quest Therapy Inc | Mile 4, Wasilla, AK 99654 |
| Josh T Williams | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Amy L Stielstra | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Corissa J Abel | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Lisa M Bouyea-francies | Nurse Practitioner | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Robin Hughes | Clinical Social Worker | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Mary A Eckart | Physician Assistant | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Find all physicians in zip 99654 | |||
| City | WASILLA |
| Zip Code | 99654 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | WASILLA + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Megan D Nystrom.
| 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.