Individual provider Active NPI

Jeanne M Laible, PA

  • Physician Assistant
  • Stuart, NE
National Provider Identifier
1013967223
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
712 Issued in NE
Practice address
110 W 2ND St
Stuart, NE 68780-0110
Phone
(402) 924-3777
Fax
(402) 924-3776
NPI assigned
May 10, 2006
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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 712 NE Primary

Addresses

Primary practice location

110 W 2ND St
Stuart, NE 68780-0110

Mailing address

PO Box 70
Stuart, NE 68780-0070
Phone (402) 924-3777

Other identifiers 1

IdentifierTypeStateIssuer
1013967223MedicaidNE

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
I20070815000637 NE Practitioner - Physician Assistant 3971695321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 E S St
PO Box 146
Bassett, NE 68780-0146
Phone (402) 684-2285

110 W 2ND St
PO Box 70
Stuart, NE 68780-1701
Phone (402) 924-3777

418 E 5TH St
Atkinson, NE 68713-4885
Phone (402) 925-2994

88057 468TH Ave
Stuart, NE 68780-5839

PO Box
Suite 70
Stuart, NE 68780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
712NEMDObesity and Weight Management Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
West Holt Memorial Hospital CurrentSince Oct 20, 2018 Accepting new patients
West Holt Memorial Hospital CurrentSince Oct 20, 2018 Accepting new patients
Greater Sandhills Family Healthcare, PC CurrentSince Sep 12, 2009 Accepting new patients
Greater Sandhills Family Healthcare, P.C. Past Accepting new patients

Locations

405 W Pearl St
Atkinson, NE 68713
Phone (402) 925-2631

405 W Pearl St
Ste 458
Atkinson, NE 68713

406 W Neely St
Atkinson, NE 68713
Phone (402) 925-2811

418 E 5th St
Atkinson, NE 68713
Phone (402) 925-2994

Interoperability endpoints

  • Direct secure messaging: gsfh@gsfh.directbygreenway.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d4a56ff5-f6ae-4ca3-b326-1973b3579459/

Organizations & group practices 6

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

Hospital & facility affiliations 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1013967223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "STUART",
            "state": "NE",
            "postal_code": "687800070",
            "telephone_number": "402-924-3777",
            "fax_number": "402-924-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 2ND ST",
            "city": "STUART",
            "state": "NE",
            "postal_code": "687800110",
            "telephone_number": "402-924-3777",
            "fax_number": "402-924-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIBLE",
        "first_name": "JEANNE",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013967223",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, NE

Sources for this page

Verify at the official NPI Registry.