Physician Compare National (NPI:1609348119)

HEALTHCARE PROVIDER: DENELL DAWN FLORES FNP-BC

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

Individual Professional Information
NPI	1609348119
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608202056
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200204001318
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FLORES
	Individual professional last name
Provider First Name	DENELL
	Individual professional first name
Provider Middle Name	DAWN
	Individual professional middle 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
Organization Legal Name	NAVARRO HOSPITAL LP
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0143126888
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3124 W HWY 22
	Group Practice or individual's line 1 address
City	CORSICANA
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	751102435
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9036414270
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450447
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NAVARRO REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y