Physician Compare National (NPI:1912491259)

HEALTHCARE PROVIDER: CAREY ANN BACZWASKI ARNP

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

Individual Professional Information
NPI	1912491259
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517211154
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200114001039
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BACZWASKI
	Individual professional last name
Provider First Name	CAREY
	Individual professional first name
Provider Middle Name	ANN
	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	2017
	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	DUNES ANESTHESIA PC
	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	9537141254
	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	12
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3500 SINGING HILLS BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	SIOUX CITY
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	511065127
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6052177246
	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	160146
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST LUKES REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	281326
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ANTELOPE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	281322
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST FRANCIS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	281347
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	OSMOND GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y