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TAMMY BROCKMOLLER
NPI 1194575290
Nurse Practitioner in North Platte, NE

Active since March 25, 2024PECOS Enrolled
601 W LEOTA ST, NORTH PLATTE, NE 69101(308) 568-8000 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tammy Brockmoller NPPES

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

TAMMY BROCKMOLLER (NPI 1194575290) is an individual nurse practitioner in North Platte, Nebraska, licensed in Nebraska (115495) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194575290
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTAMMY BROCKMOLLER
Location Address601 W LEOTA STNorth Platte, NE 69101-6525
Mailing Address601 W Leota StNorth Platte, NE 69101-6525 · (308) 568-8000
Phone(308) 568-8000
Sole ProprietorNo
Enumeration DateMarch 25, 2024
Last NPPES UpdateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1194575290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NE · 115495
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 61850 (NE)
601 W LEOTA ST, North Platte, NE 69101
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammy Brockmoller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Tammy Brockmoller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Platte Nebraska Hospital Corporation
Same address
Medical Oncology
601 W LEOTA ST
North Platte, NE 69101
  • Reassigned Medicare billing, Nebraska enrollment
  • 365 clinicians in this Medicare group
NPI 1134355332 (308) 568-7496
Cozad Community Hospital
44 mi
Rural Health
1803 PAPIO LN
Cozad, NE 69130
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1881632883 (Nebraska)
  • 13 clinicians in this Medicare group
NPI 1528159308 (308) 784-3535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services48 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
38 services37 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
31 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

KAILA MARIE STEINKUHLER PA-C
Physician Assistant
601 W LEOTA ST
NORTH PLATTE, NE 69101
Lincoln County (308) 696-8000
KIMBERLY ANN BEHNK APRN
Nurse Practitioner (Family)
601 W LEOTA ST
NORTH PLATTE, NE 69101
Lincoln County (308) 568-3546
KYLEE CLARK
Emergency Medicine (Emergency Medical Services)
601 W LEOTA ST
NORTH PLATTE, NE 69101
Lincoln County (308) 568-8000
DR. LADD DANIEL LAKE M.D.
Radiology (Diagnostic Radiology)
601 W LEOTA ST
NORTH PLATTE, NE 69101
Lincoln County (308) 696-7491
PHILLIP A STAWSKI MD
Emergency Medicine
601 W LEOTA ST
NORTH PLATTE, NE 69101
Lincoln County (308) 696-8000
SANDHILLS ONCOLOGY PC
Radiology (Radiation Oncology)
601 W LEOTA ST
NORTH PLATTE, NE 69101
Lincoln County (308) 696-7741
MS. BRENDA L.E. JACKSON OTR/L
Occupational Therapist
601 W LEOTA ST
NORTH PLATTE, NE 69101
Lincoln County (308) 696-8000
CAMERAN RUNGE
Physician Assistant
601 W LEOTA ST
NORTH PLATTE, NE 69101
Lincoln County (308) 568-8760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Brockmoller's NPI number?

The NPI number for Tammy Brockmoller is 1194575290. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Tammy Brockmoller located?

Tammy Brockmoller practices at 601 W Leota St, North Platte, NE 69101. The listed phone number is (308) 568-8000.

What is Tammy Brockmoller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tammy Brockmoller enrolled in Medicare?

Yes. Tammy Brockmoller is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tammy Brockmoller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Brockmoller reassigns Medicare benefits to 2 organizations: North Platte Nebraska Hospital Corporation (North Platte, NE) and Cozad Community Hospital (Cozad, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tammy Brockmoller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tammy Brockmoller accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Tammy Brockmoller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tammy Brockmoller was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.