Kelly M Bean (NPI# 1801992532, PAC ID# 5092717926) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1801992532 |
| PAC ID by PECOS | 5092717926 |
| Professional Enrollment ID | I20070206000625 |
| Full Name | Kelly M Bean |
| Organization Legal Name | SIOUXLAND COMMUNITY HEALTH CENTER |
| Address |
3410 Futures Dr South Sioux City NE 68776-3917 |
| Phone Number | 4024127242 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931099546 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160146 | ST LUKES REGIONAL MEDICAL CENTER |
| 160153 | MERCY MEDICAL CENTER-SIOUX CITY |
| Address | Phone | Organization |
|---|---|---|
| 1021 Nebraska St, Sioux City, IA 51105-1436 | 7122522477 | SIOUXLAND COMMUNITY HEALTH CENTER |
| 801 5th St, Sioux City, IA 51101-1326 | 7122792010 | WOODBURY EMERGENCY GROUP, PC |
| 3410 Futures Dr, South Sioux City, NE 68776-3917 | 4024127242 | SIOUXLAND COMMUNITY HEALTH CENTER |
| Organization Legal Name | SIOUXLAND COMMUNITY HEALTH CENTER |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dylan C Greene | Family Medicine | Siouxland Community Health Center | 1021 Nebraska St, Sioux City, IA 51105-1436 |
| Staci L Ervin | Nurse Practitioner | Siouxland Community Health Center | 3410 Futures Dr, South Sioux City, NE 68776-3917 |
| Mary G Mcgowan | Nurse Practitioner | Siouxland Community Health Center | 1021 Nebraska St, Sioux City, IA 51105-1436 |
| Lori K Krause | Physician Assistant | Siouxland Community Health Center | 1021 Nebraska St, Sioux City, IA 51105-1436 |
| Carol Madsen Watchorn | Clinical Social Worker | Siouxland Community Health Center | 1021 Nebraska St, Sioux City, IA 51105-1436 |
| Kristi D Walz | Family Medicine | Siouxland Community Health Center | 1021 Nebraska St, Sioux City, IA 51105-1436 |
| Ann M Pick | Nurse Practitioner | Siouxland Community Health Center | 1021 Nebraska St, Sioux City, IA 51105-1436 |
| Kelly A Ryder | Family Medicine | Siouxland Community Health Center | 1021 Nebraska St, Sioux City, IA 51105-1436 |
| Joni Roberts | Certified Nurse Midwife (cnm) | Siouxland Community Health Center | 1021 Nebraska St, Sioux City, IA 51105-1436 |
| Heather Jo Stehr | Nurse Practitioner | Siouxland Community Health Center | 1021 Nebraska St, Sioux City, IA 51105-1436 |
| Street Address |
3410 FUTURES DR |
| City | SOUTH SIOUX CITY |
| State | NE |
| Zip | 68776-3917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Staci L Ervin | Nurse Practitioner | Siouxland Community Health Center | 3410 Futures Dr, South Sioux City, NE 68776-3917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jackie L Kuchta | Nurse Practitioner | Mercy Medical Services | 501 1st Ave, South Sioux City, NE 68776-1703 |
| Suhair Afana Najdawi | Family Medicine | Mercy Medical Services | 501 1st Ave, South Sioux City, NE 68776-1703 |
| Tracey A Pick | Nurse Practitioner | Mercy Medical Services | 501 1st Ave, South Sioux City, NE 68776-1703 |
| Brenda S Orlando | Clinical Social Worker | Heartland Counseling Services, Inc. | 917 W 21st St, South Sioux City, NE 68776-2652 |
| Jessica R Barnes | Clinical Social Worker | Heartland Counseling Services, Inc. | 917 W 21st St, South Sioux City, NE 68776-2652 |
| Gerald L Mayo | Clinical Social Worker | Heartland Counseling Services, Inc. | 917 W 21st St, South Sioux City, NE 68776-2652 |
| Robert E Lee | Chiropractic | 1512 Dakota Ave, Suite D, South Sioux City, NE 68776-2665 | |
| Gary L Tapper | Chiropractic | 1512 Dakota Ave D, South Sioux City, NE 68776-2665 | |
| Amy E Mcmanamy | Clinical Social Worker | Family Health Care of Siouxland Plc | 3250 Plaza Dr, South Sioux City, NE 68776-3144 |
| Deborah Henry | Physician Assistant | Family Health Care of Siouxland Plc | 3250 Plaza Dr, South Sioux City, NE 68776-3144 |
| Find all physicians in zip 68776 | |||
| City | SOUTH SIOUX CITY |
| Zip Code | 68776 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SOUTH SIOUX CITY + 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.