Nellie Lynn Gabrielson (NPI# 1205189321, PAC ID# 8123271897) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1205189321 |
| PAC ID by PECOS | 8123271897 |
| Professional Enrollment ID | I20130104000471 |
| Full Name | Nellie Lynn Gabrielson |
| Organization Legal Name | CENTRACARE CLINIC |
| Address |
16830 198th Nwave Big Lake MN 55309-4860 |
| Phone Number | 7632637300 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2466363395 |
| Number of Group Practice Members | 569 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240036 | ST CLOUD HOSPITAL |
| 240030 | DOUGLAS COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 111 17th E Ave, Alexandria, MN 56308-3703 | 8008356652 | CENTRACARE CLINIC |
| 16830 198th Ave Nw, Big Lake, MN 55309-4860 | 7632637300 | CENTRACARE CLINIC |
| 16830 198th Nwave, Big Lake, MN 55309-4860 | 7632637300 | CENTRACARE CLINIC |
| 808 3rd Sest, Suite 330, Little Falls, MN 56345-2449 | 8008356652 | CENTRACARE CLINIC |
| 1200 6th N Ave, Saint Cloud, MN 56303-2735 | 3202525131 | CENTRACARE CLINIC |
| 1200 6th Ave N, St Cloud, MN 56303-2735 | 3202525131 | CENTRACARE CLINIC |
| 1406 6th Ave N, St Cloud, MN 56303-1901 | 8008356652 | CENTRACARE CLINIC |
| 403 E Prairie Ave, Staples, MN 56479-3201 | 8008356652 | CENTRACARE CLINIC |
| Organization Legal Name | CENTRACARE CLINIC |
| Physicians | 630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany D Kirkeby | Family Medicine | Centracare Clinic | 30 Railroad Ave, Albany, MN 56307-9379 |
| Stephanie A Boysen | Nurse Practitioner | Centracare Clinic | 615 Nelson Dr Po Box, Suite 217, Clearwater, MN 55320 |
| Evan L Dyce | Nurse Practitioner | Centracare Clinic | 1200 6th N Ave, Saint Cloud, MN 56303-2735 |
| Janelle M Terhaar | Nurse Practitioner | Centracare Clinic | 20 9th St Se, Long Prairie, MN 56347-1404 |
| Craig B Tangen | Certified Registered Nurse Anesthetist (crna) | Centracare Clinic | 3701 12th St N, Suite 202, Saint Cloud, MN 56303-2253 |
| Katrina N Wherry | Family Medicine | Centracare Clinic | 1360 Elm St E, St Joseph, MN 56374-4694 |
| Ashley A Rood | Nurse Practitioner | Centracare Clinic | 113 Waite Ave S, Suite 101, Waite Park, MN 56387-1348 |
| Elizabeth Anne Phillips | Urology | Centracare Clinic | 2351 Connecticut S Ave, 200 Suite 200, Sartell, MN 56377-2477 |
| Michelle L Jones | Nurse Practitioner | Centracare Clinic | 161 Glen St, Suite 101, Foley, MN 56329-4514 |
| Erin F Osmundson | Nurse Practitioner | Centracare Clinic | 500 Park St E, Annandale, MN 55302-3060 |
| Street Address |
16830 198TH NWAVE |
| City | BIG LAKE |
| State | MN |
| Zip | 55309-4860 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shakeel Anjum | Nephrology | Centracare Clinic | 16830 198th Nwave, Big Lake, MN 55309-4860 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista M Davis | Optometry | 621 Rose Dr, Big Lake, MN 55309-4653 | |
| Nathan E Davidson | Chiropractic | 690 Humboldt Dr, Suite C, Big Lake, MN 55309-4813 | |
| Linda Kay Fairchild | Occupational Therapy | Innovative Therapy LLC | 16820 197th Ave Nw, Options Inc, Big Lake, MN 55309-4828 |
| City | BIG LAKE |
| Zip Code | 55309 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BIG LAKE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nellie Lynn Gabrielson.
| 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.