Physician Compare National (NPI:1780166819)

HEALTHCARE PROVIDER: AMEL MOHAMED ELSHAIER APNP

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

Individual Professional Information
NPI	1780166819
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416200506
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181018001684
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ELSHAIER
	Individual professional last name
Provider First Name	AMEL
	Individual professional first name
Provider Middle Name	MOHAMED
	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	HEART FAILURE SURVIVAL CENTER OF AMERICA SC
	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	9830492198
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	515 N US HWY 141
	Group Practice or individual's line 1 address
City	CRIVITZ
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	541141639
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7158547050
	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	520113
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAY AREA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y