Physician Compare National (NPI:1093292815)

HEALTHCARE PROVIDER: TISHA SCHEUER FNP-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1093292815
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789928219
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181210002898
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCHEUER
	Individual professional last name
Provider First Name	TISHA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2018
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4914 AMBERGLOW DR
	Group Practice or individual's line 1 address
City	BISMARCK
	Group Practice or individual's city
State	ND
	Group Practice or individual's state
Zip Code	585038851
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	350015
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SANFORD MEDICAL CENTER BISMARCK
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y