KYMBERLI R BROCK
MOOSE CREEK MEDICAL CLINIC LLC

Address: 2341 S Fern St, Suite 300, Wasilla, AK 99654-8627

KYMBERLI R BROCK (NPI# 1619972478, PAC ID# 2264495043) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1619972478
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 2264495043
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20090515000074
Last Name BROCK
First Name KYMBERLI
Middle Name R
Gender F
Credential NP
Organization Legal Name MOOSE CREEK MEDICAL CLINIC LLC
Address 2341 S Fern St
Suite 300
Wasilla
AK 99654-8627
Phone Number 9073733335
Graduation Year 2002
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 0143554188
Number of Group Practice Members 3
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
020006 MAT-SU REGIONAL MEDICAL CENTER

Organization Information

Organization Legal Name MOOSE CREEK MEDICAL CLINIC LLC

Physicians Physicians in the same organization

Name Specialty Organization Address
Jesse Faye Cooper Nurse Practitioner Moose Creek Medical Clinic LLC 2341 S Fern St, Suite 300, Wasilla, AK 99654-8627
Sarah Elizabeth Nielsen Nurse Practitioner Moose Creek Medical Clinic LLC 2341 S Fern St, Suite 300, Wasilla, AK 99654-8627

Office Location

Street Address 2341 S FERN ST
SUITE 300
City WASILLA
State AK
Zip Code 99654-8627

Physicians in the same location

Name Specialty Organization Address
Sarah Elizabeth Nielsen Nurse Practitioner Moose Creek Medical Clinic LLC 2341 S Fern St, Suite 300, Wasilla, AK 99654-8627
Jesse Faye Cooper Nurse Practitioner Moose Creek Medical Clinic LLC 2341 S Fern St, Suite 300, Wasilla, AK 99654-8627

Physicians in the same zip code prefix

Name Specialty Organization Address
Jeffrey A Lepage Physical Therapy First Choice Physical Therapy Inc 6701 W Blondell St, Wasilla, AK 99654
Lynn G Branson Clinical Social Worker Mat-Su Health Services Inc. 1363 W Spruce Ave, Wasilla, AK 99654-5327
Amy L Stielstra Physical Therapy First Choice Physical Therapy Inc 6701 W Blondell St, Wasilla, AK 99654
Maria V Gornostaeva Clinical Social Worker Mat-Su Health Services Inc. 1363 W Spruce Ave, Wasilla, AK 99654-5327
Josh T Williams Physical Therapy First Choice Physical Therapy Inc 6701 W Blondell St, Wasilla, AK 99654
Paul A Schranz Physician Assistant Mat-Su Health Services Inc. 1363 W Spruce Ave, Wasilla, AK 99654-5327
Marlys F Bryan Physical Therapy Health Quest Therapy Inc Mile 4, Wasilla, AK 99654
Lisa M Bouyea-Francies Nurse Practitioner Mat-Su Health Services Inc. 1363 W Spruce Ave, Wasilla, AK 99654-5327
Carlin M Evanoff Physician Assistant Mat-Su Health Services Inc. 1363 W Spruce Ave, Wasilla, AK 99654-5327
Lorraine Melanie Cutler Clinical Social Worker Mat-Su Health Services Inc. 1363 W Spruce Ave, Wasilla, AK 99654-5327
Find all in zip 99654

Competitor

Search similar physicians

City WASILLA
Zip Code 99654
Specialty NURSE PRACTITIONER
City + Specialty WASILLA + NURSE PRACTITIONER

Physicians Similar physicians

Name Specialty Organization Address
Kymberli K Mcclain Nurse Practitioner The Austin Diagnostic Clinic Pllc 1250 S Capital of Texas Hwy, Bldg 3 1st Floor, Austin, TX 78746-6446
Lee R Brock Ophthalmology 4304 Lafayette Blvd, Fredericksburg, VA 22408-4234
Ann Brock Physician Assistant Lee Memorial Health System 2780 Cleveland Ave, Fort Myers, FL 33901-5817
Amy L Brock Nurse Practitioner Phoebe Physician Group Inc 2336 Dawson Rd, Suite 1600, Albany, GA 31707-2801
Lee A Brock Interventional Pain Management U S Anesthesia Partners of Texas, Pa 8000 Eldorado Pkwy, Bldg C Suite A, Mckinney, TX 75070-4136
Joy Brock Psychologist, Clinical River Valley Counseling Center Inc 303 Beech St, Holyoke, MA 01040-3996
Brock V Nyquist Certified Registered Nurse Anesthetist (crna) Dhp Anesthesia Medical Group Inc 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872
Bobby C Brock Family Medicine Bhs Physicians Network Inc 66 Gruene Park Dr, Suite 205, New Braunfels, TX 78130-2219
Brad M Brock Anesthesiology Anesthesia Medical Group of The Permian Basin, LLP 5609 Deauville, Midland, TX 79706-2870
Carole D Brock Certified Registered Nurse Anesthetist (crna) Eastern Niagara Medical Group PC 3112 Sheridan Dr, Amherst, NY 14226-1904

Improve Information

Please provide details on KYMBERLI R BROCK by submitting the form below, or post on facebook comments.

Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.