Individual provider Active NPI

Carol M Herman, PA-C

  • Physician Assistant
  • Gering, NE
National Provider Identifier
1003823204
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
581 Issued in NE
Practice address
975 Crescent Dr
Gering, NE 69341-1712
Phone
(308) 632-2540
Fax
(308) 633-2650
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 581 NE Primary

Addresses

Primary practice location

975 Crescent Dr
Gering, NE 69341-1712

Mailing address

3350 10TH St
Gering, NE 69341-1724
Phone (308) 632-2540

Other identifiers 1

IdentifierTypeStateIssuer
581OtherNESTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080922000408 NE Practitioner - Physician Assistant 2668549320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Action Partnership of Western NebraskaGroup PAC ID 2860399714, 18 clinicians

Practice addresses (Care Compare)

3350 10TH St
Gering, NE 69341-1724

975 Crescent Dr
Gering, NE 69341-1712
Phone (308) 632-2540

Hospital & facility affiliations

  • Brookestone Home Health & Hospice Home health agency, Gering, NE, CCN 287004
  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
581NEMDHearing Instrument Specialist

Interoperability endpoints

  • Direct secure messaging: carol.herman.p1@direct.capwn.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1003823204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 10TH ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411724",
            "telephone_number": "308-632-2540",
            "fax_number": "308-633-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 CRESCENT DR",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411712",
            "telephone_number": "308-632-2540",
            "fax_number": "308-633-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "CAROL",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "581",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gering, NE

Sources for this page

Verify at the official NPI Registry.