| Winnebago Comprehensive Healthcare Systems | |
|
225 South Bluff Street Winnebago NE 68071 | |
| (402) 878-2231 | |
| Not Available |
| Full Name | Winnebago Comprehensive Healthcare Systems |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 South Bluff Street, Winnebago, Nebraska |
| Authorized Official Name and Position | Beth M Wewel (CFO) |
| Authorized Official Contact | 4026169319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winnebago Comprehensive Healthcare Systems 225 S Bluff St Winnebago NE 68071-0767 Ph: (405) 878-2231 | Winnebago Comprehensive Healthcare Systems 225 South Bluff Street Winnebago NE 68071 Ph: (402) 878-2231 |
| NPI Number | 1033608328 |
|---|---|
| Provider Enumeration Date | 05/02/2018 |
| Last Update Date | 12/22/2023 |
| Medicare PECOS PAC ID | 7113268640 |
|---|---|
| Medicare Enrollment ID | O20190411000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033608328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Anuma K. Ulu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982731741 PECOS PAC ID: 4486679057 Enrollment ID: I20051012000829 |
| Provider Name | Gregory Joseph Mccarthy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831186865 PECOS PAC ID: 5597757831 Enrollment ID: I20060913000639 |
| Provider Name | Thomas Schroeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104932094 PECOS PAC ID: 9032114160 Enrollment ID: I20060925000292 |
| Provider Name | Carmen D Cosme |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912957994 PECOS PAC ID: 7911000153 Enrollment ID: I20070308000613 |
| Provider Name | Eugene Park Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528030525 PECOS PAC ID: 4486624160 Enrollment ID: I20081124000142 |
| Provider Name | Lori Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760675177 PECOS PAC ID: 0648333690 Enrollment ID: I20090116000366 |
| Provider Name | Jonathan Jaksha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871555649 PECOS PAC ID: 3274632054 Enrollment ID: I20090904000224 |
| Provider Name | Carey C Buhler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265590749 PECOS PAC ID: 5991787137 Enrollment ID: I20091109000467 |
| Provider Name | Tamara Wheeler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114085693 PECOS PAC ID: 8628116571 Enrollment ID: I20091112000587 |
| Provider Name | Nidal Dabbasi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609867464 PECOS PAC ID: 8921270232 Enrollment ID: I20111011000101 |
| Provider Name | Karen G Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801992813 PECOS PAC ID: 8729024161 Enrollment ID: I20130726000670 |
| Provider Name | Joseph Lozano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932185543 PECOS PAC ID: 2961467121 Enrollment ID: I20170621002414 |
| Provider Name | Janell L Simpkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619989605 PECOS PAC ID: 6204025661 Enrollment ID: I20180308000855 |
| Provider Name | Mohammed Quraishi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871545269 PECOS PAC ID: 8123030814 Enrollment ID: I20180404002328 |
| Provider Name | Ashley L Jansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124530860 PECOS PAC ID: 9931454188 Enrollment ID: I20180612002609 |
| Provider Name | Stanley R Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003802968 PECOS PAC ID: 4082527205 Enrollment ID: I20180802000503 |
| Provider Name | Steven Todd Mccormack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023000338 PECOS PAC ID: 4183651987 Enrollment ID: I20180914000083 |
| Provider Name | Shawn T Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891040689 PECOS PAC ID: 6103103569 Enrollment ID: I20190111001262 |
| Provider Name | Kim Wilde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891744140 PECOS PAC ID: 3375686173 Enrollment ID: I20190123000471 |
| Provider Name | Timothy Conner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750385357 PECOS PAC ID: 6709784119 Enrollment ID: I20190501001441 |
| Provider Name | Seth A Mandel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255444022 PECOS PAC ID: 4688671209 Enrollment ID: I20190626002493 |
| Provider Name | Lynn Baru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972529055 PECOS PAC ID: 5890798185 Enrollment ID: I20190626002927 |
| Provider Name | June Marie Myler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811493679 PECOS PAC ID: 1951656081 Enrollment ID: I20191002001892 |
| Provider Name | Ashok Gupta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124464847 PECOS PAC ID: 9133450786 Enrollment ID: I20191011001245 |
| Provider Name | Christine M Kayl |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982904660 PECOS PAC ID: 4981935210 Enrollment ID: I20191017000251 |
| Provider Name | Gretchen Wheelock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417251216 PECOS PAC ID: 0840522181 Enrollment ID: I20191106000029 |
| Provider Name | Shannon L St. Clair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881030997 PECOS PAC ID: 3678714268 Enrollment ID: I20191118002958 |
| Provider Name | Sara M Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861940249 PECOS PAC ID: 6507153723 Enrollment ID: I20200210002006 |
| Provider Name | Nisha J Manek |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437139151 PECOS PAC ID: 4486798097 Enrollment ID: I20200401001340 |
| Provider Name | Adam Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033539937 PECOS PAC ID: 9436378734 Enrollment ID: I20200406003274 |
| Provider Name | Peter J Lloyd |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962717918 PECOS PAC ID: 2769775568 Enrollment ID: I20200407003506 |
| Provider Name | Kanan D Maniar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366534042 PECOS PAC ID: 7911897830 Enrollment ID: I20200521000515 |
| Provider Name | Carrie M Marsala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376526368 PECOS PAC ID: 5890767362 Enrollment ID: I20200623001444 |
| Provider Name | Jake Vrdoljak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619976230 PECOS PAC ID: 8527253400 Enrollment ID: I20201109000080 |
| Provider Name | Sumita Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568768828 PECOS PAC ID: 8426234493 Enrollment ID: I20201222000313 |
| Provider Name | Elizabeth L Hatz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467705640 PECOS PAC ID: 3173836475 Enrollment ID: I20210211000968 |
| Provider Name | Kevin W Marcum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619166675 PECOS PAC ID: 0042480303 Enrollment ID: I20210309002840 |
| Provider Name | Zean Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871090670 PECOS PAC ID: 1052717592 Enrollment ID: I20210916002460 |
| Provider Name | Chelsea Lynae Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154929230 PECOS PAC ID: 4880075332 Enrollment ID: I20220715000518 |
| Provider Name | Thomas Fennessy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356357149 PECOS PAC ID: 3870589526 Enrollment ID: I20220804002367 |
| Provider Name | Tiffany K Yowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619570769 PECOS PAC ID: 4688058688 Enrollment ID: I20220824003284 |
| Provider Name | Matthew P. Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013491943 PECOS PAC ID: 0042563470 Enrollment ID: I20220902001877 |
| Provider Name | Christopher Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396195970 PECOS PAC ID: 6608162011 Enrollment ID: I20221110002726 |
| Provider Name | Brad A Rahaman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043473424 PECOS PAC ID: 0244400745 Enrollment ID: I20221209000359 |
| Provider Name | Colin Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467615252 PECOS PAC ID: 5597982694 Enrollment ID: I20230131000643 |
| Provider Name | Sheila Middagh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164076741 PECOS PAC ID: 7618206756 Enrollment ID: I20230221001861 |
| Provider Name | Kyle Hirschman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801175401 PECOS PAC ID: 2466686126 Enrollment ID: I20230928004073 |
| Provider Name | Amy P Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912169442 PECOS PAC ID: 1557518552 Enrollment ID: I20231009000299 |
| Provider Name | Ganesh Kini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093742744 PECOS PAC ID: 9830115088 Enrollment ID: I20231228002839 |
| Provider Name | Abigail Grace Piazza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225384019 PECOS PAC ID: 6305069147 Enrollment ID: I20240105002638 |
| Provider Name | Rachel Renee Sindelar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598324253 PECOS PAC ID: 3779818042 Enrollment ID: I20240228003242 |
| Provider Name | Cara Drew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699189639 PECOS PAC ID: 5294951661 Enrollment ID: I20240307001046 |
| Provider Name | Sarah Ann Sortino |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679891584 PECOS PAC ID: 9830215979 Enrollment ID: I20240308001199 |
| Provider Name | Robert John Forbes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760440507 PECOS PAC ID: 4789643099 Enrollment ID: I20240313004394 |
| Provider Name | Stephen F Israel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376539700 PECOS PAC ID: 8628045176 Enrollment ID: I20240313004558 |
| Provider Name | James Francis Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548218696 PECOS PAC ID: 8325007636 Enrollment ID: I20240328000557 |
| Provider Name | Peter James Schindler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598326217 PECOS PAC ID: 6204168180 Enrollment ID: I20240402003049 |
| Provider Name | Michael Jung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023093580 PECOS PAC ID: 2365573359 Enrollment ID: I20240408000034 |
| Provider Name | Christopher Hasiak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992090773 PECOS PAC ID: 5597068452 Enrollment ID: I20240412000202 |
| Provider Name | Robert Lee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679057145 PECOS PAC ID: 1658615794 Enrollment ID: I20240415000942 |
| Provider Name | Jennifer Renee Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205504669 PECOS PAC ID: 0840639225 Enrollment ID: I20240418000135 |
| Provider Name | Marissa Lundeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356113625 PECOS PAC ID: 1951744234 Enrollment ID: I20240425000572 |
| Provider Name | Brandon Bunker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619216751 PECOS PAC ID: 8921484973 Enrollment ID: I20240426000323 |
| Provider Name | Jeremy John Vande Zande |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679589303 PECOS PAC ID: 4082613393 Enrollment ID: I20240426002991 |
| Provider Name | Ashar Luqman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275742090 PECOS PAC ID: 0749458685 Enrollment ID: I20240429001752 |
| Provider Name | Earl Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902268105 PECOS PAC ID: 6002108016 Enrollment ID: I20240501001202 |
| Provider Name | Lisa A. Pape |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578072351 PECOS PAC ID: 7810263225 Enrollment ID: I20240515000054 |
| Provider Name | Michaela Wheatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326524844 PECOS PAC ID: 4688923253 Enrollment ID: I20240515001397 |
| Provider Name | Maurice Blackbird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821861840 PECOS PAC ID: 8628428968 Enrollment ID: I20240612003022 |
Winnebago Tribal Rescue And Ambulance Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Bluff St, Winnebago, NE 68071 Phone: 402-745-3950 Fax: 402-878-2237 | |
Winnebago Tribal Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Bluff St, Winnebago, NE 68071 Phone: 402-745-3650 Fax: 402-878-2237 | |
Winnebago Indian Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hwy 77 75, Winnebago, NE 68071 Phone: 402-878-2231 |