Debra A Kawulok


Address: 304 Coffeen Ave, Suite A, Sheridan, WY 82801-4803

Debra A Kawulok (NPI# 1013242502, PAC ID# 7416096607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1013242502
PAC ID by PECOS 7416096607
Professional Enrollment ID I20091201000425
Full Name Debra A Kawulok
Address 304 Coffeen Ave
Suite A
Sheridan
WY 82801-4803
Gender F
Graduation Year 2009
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
530006 SHERIDAN MEMORIAL HOSPITAL
280061 REGIONAL WEST MEDICAL CENTER
531308 JOHNSON COUNTY HEALTHCARE CENTER

Other Locations

Address Phone Organization
304 Coffeen Ave, Suite A, Sheridan, WY 82801-4803

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Office Location

Street Address 304 COFFEEN AVE
SUITE A
City SHERIDAN
State WY
Zip 82801-4803

Physicians in the same location

Name Specialty Organization Address
Marlene Ann Schuman Nurse Practitioner 304 Coffeen Ave, Suite A, Sheridan, WY 82801-4803

Physicians in the same zip code

Name Specialty Organization Address
Steve E Rabon Podiatry Sheridan Orthopaedic Associates, P.C. 1050 Mydland Rd, Sheridan, WY 82801-2186
Anthony B Quinn Orthopedic Surgery Sheridan Orthopaedic Associates, P.C. 1050 Mydland Rd, Sheridan, WY 82801-2186
Thomas O Mayer Neurology 1050 Mydland Rd, Sheridan, WY 82801-2186
Geoffrey Sherman Psychologist, Clinical Sheridan Neurology PC 1050 Mydland Rd, Sheridan, WY 82801-2186
Sean M Schoonover Physician Assistant Sheridan Orthopaedic Associates, P.C. 1050 Mydland Rd, Sheridan, WY 82801-2186
Brian D Laman Orthopedic Surgery Sheridan Orthopaedic Associates, P.C. 1050 Mydland Rd, Sheridan, WY 82801-2186
James S Ferries Orthopedic Surgery Sheridan Orthopaedic Associates, P.C. 1050 Mydland Rd, Sheridan, WY 82801-2186
Jeremy P Zebroski Orthopedic Surgery Sheridan Orthopaedic Associates, P.C. 1050 Mydland Rd, Sheridan, WY 82801-2186
Brenton F Milner Orthopedic Surgery Sheridan Orthopaedic Associates, P.C. 1050 Mydland Rd, Sheridan, WY 82801-2186
Justin N Steinert Orthopedic Surgery Sheridan Orthopaedic Associates, P.C. 1050 Mydland Rd, Sheridan, WY 82801-2186
Find all physicians in zip 82801

Competitor

Search similar physicians

City SHERIDAN
Zip Code 82801
Specialty NURSE PRACTITIONER
City + Specialty SHERIDAN + NURSE PRACTITIONER

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Dataset Information

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.

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