GOSNELL FAMILY MEDICINE, PC - NPI 1174951719 - Family Medicine in North Platte, NE

Q: What is Gosnell Family Medicine, PC's NPI number?

The NPI number for Gosnell Family Medicine, PC is 1174951719. It was assigned to this organization in the NPPES registry on October 16, 2013.

Q: What is Gosnell Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Gosnell Family Medicine, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOSNELL FAMILY MEDICINE, PC (NPI 1174951719) is a healthcare organization registered as a family medicine in North Platte, Nebraska and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Wendy Jo Gosnell, President/owner, as its authorized official.

NPPES Registry Identity

NPI1174951719

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGOSNELL FAMILY MEDICINE, PC

Location Address210 MCNEEL LNNorth Platte, NE 69101-6290

Mailing Address210 Mcneel LnNorth Platte, NE 69101-6290 · (308) 221-6262 · Fax (308) 221-6261

Phone(308) 221-6262

Fax(308) 221-6261

Organization SubpartNo

Authorized OfficialWendy Jo GosnellPresident/owner · (308) 520-2694

Enumeration DateOctober 16, 2013

Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration

NPPES CertifiedOctober 20, 2022

✔ NPI 1174951719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NE · 21972

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

210 MCNEEL LN, North Platte, NE 69101

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Other Identifiers 1

Medicaid10026366900NE

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2068805

Gosnell Family Medicine PC · North Platte, NE

Active · expires Nov 11, 2027

CLIA Number28D2068805

Laboratory TypePhysician Office

Certificate Effective DateNovember 12, 2025

Certificate Expiration DateNovember 11, 2027

Laboratory DirectorDr. Wendy J. Gosnell

Laboratory Phone(308) 221-6262

Laboratory LocationGosnell Family Medicine PC210 Mcneel Lane, North Platte, NE 69101

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STACY LEIGH HAMAN APRN

Nurse Practitioner (Primary Care)