Individual provider Active NPI

Stacy Leigh Haman, APRN

  • Primary Care Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1023680147
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
113682 Issued in NE
Practice address
210 McNeel LN
North Platte, NE 69101-6290
Phone
(308) 221-6262
NPI assigned
Jul 16, 2021
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 113682 NE Primary

Addresses

Primary practice location

210 McNeel LN
North Platte, NE 69101-6290

Mailing address

210 McNeel LN
North Platte, NE 69101-6290
Phone (308) 221-6262

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
I20210816001598 NE Practitioner - Nurse Practitioner 4486059383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

611 W Francis St
200 Great Plains Health Outpatient Services
North Platte, NE 69101-0614
Phone (308) 568-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation CurrentSince Sep 7, 2022 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
North Platte Nebraska Physician Group LLC PastSince Sep 7, 2022 Accepting new patients

Locations

500 W Leota St
Ste 100
North Platte, NE 69101
Phone (308) 520-0548

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

611 W Francis St
Ste 200
North Platte, NE 69101
Phone (308) 534-9230

Interoperability endpoints

  • Direct secure messaging: shaman200732@direct.nebraskamed.com

Organizations & group practices 3

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 6

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1023680147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MCNEEL LN",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016290",
            "telephone_number": "308-221-6262",
            "fax_number": "308-221-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MCNEEL LN",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016290",
            "telephone_number": "308-221-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAN",
        "first_name": "STACY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "113682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.