Gina Virginia Hermsen Nelson, RN,CPNP | |
20 Progress Point Pkwy, Suite 220, O Fallon, MO 63368-2206 | |
(636) 344-3333 | |
(636) 344-3334 |
Full Name | Gina Virginia Hermsen Nelson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 20 Progress Point Pkwy, O Fallon, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457492928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 2000161785 (Missouri) | Primary |
Entity Name | Wuca-o'fallon Pediatrics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366830572 PECOS PAC ID: 0941512453 Enrollment ID: O20150710001960 |
Mailing Address | Practice Location Address |
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Gina Virginia Hermsen Nelson, RN,CPNP 20 Progress Point Pkwy, Suite 220, O Fallon, MO 63368-2206 Ph: (636) 344-3333 | Gina Virginia Hermsen Nelson, RN,CPNP 20 Progress Point Pkwy, Suite 220, O Fallon, MO 63368-2206 Ph: (636) 344-3333 |
Mrs. Shannon M Wood, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4613 Fax: 636-561-4610 | |
Leah W Wangui, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Mystic Cv, O Fallon, MO 63368 Phone: 314-583-4665 | |
Mrs. Dawn Marie Johns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 N Main St, O Fallon, MO 63366 Phone: 314-687-2731 | |
Brooke Lauren Meyer, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 101, O Fallon, MO 63366 Phone: 636-978-7902 | |
Mrs. Christina Marie Ivy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2765 Red Cedar Parc Dr S, O Fallon, MO 63368 Phone: 636-248-8072 | |
Elizabeth Vollmar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Highway K, O Fallon, MO 63366 Phone: 636-379-6363 | |
Gloria Michelle Paul Edacheril, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368 Phone: 636-344-2400 Fax: 636-344-2401 |