Mrs Michaela Lynn Small, APRN is a medicare enrolled "Nurse Practitioner - Family" in Humphrey, Nebraska. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Faith Regional Physician Services Llc and her current practice location is
47452 268th Ave, Suite C, Humphrey, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 923-0150.
Mrs Michaela Lynn Small is licensed to practice in Nebraska (license number 111369) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265796304.
Provider's Profile
Full Name | Mrs Michaela Lynn Small |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 12 Years |
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Location | 47452 268th Ave, Humphrey, Nebraska |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Michaela Lynn Small graduated from nursing school in 2012
NPI Data:
- NPI Number: 1265796304
- Provider Enumeration Date: 07/03/2012
- Last Update Date: 01/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 1153571401
- Enrollment ID: I20121022000483
Medical Identifiers
Medical identifiers for Mrs Michaela Lynn Small such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265796304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 111369 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Faith Regional Physician Services Llc | 5193786168 | 166 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Michaela Lynn Small allows following entities to bill medicare on her behalf.
Entity Name | Faith Regional Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265489157 PECOS PAC ID: 5193786168 Enrollment ID: O20041022000558 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Michaela Lynn Small is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Michaela Lynn Small, APRN 47452 268th Ave, Suite C, Humphrey, NE 68642 Ph: (402) 923-0150 | Mrs Michaela Lynn Small, APRN 47452 268th Ave, Suite C, Humphrey, NE 68642 Ph: (402) 923-0150 |
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