NPIMap

Individual provider Active NPI

Daniel Merrick Stevens, M.D.

  • Family Medicine Physician
  • Ord, NE
National Provider Identifier
1033147285
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19294 Issued in NE
Practice address
1820 N St
Ord, NE 68862-1623
Phone
(308) 728-9916
Fax
(308) 728-3274
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19294 NE Primary

Addresses

Primary practice location

1820 N St
Ord, NE 68862-1623

Mailing address

1820 N St
Ord, NE 68862-1623
Phone (308) 728-9916

Other identifiers 2

IdentifierTypeStateIssuer
35859OtherNEBCBS
47084643200MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000655 NE Practitioner - Family Practice 5092764530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens Medical Clinic PCGroup PAC ID 4284777947, 2 clinicians

Practice addresses (Care Compare)

1820 N St
Suite 2
Ord, NE 68862-1623
Phone (308) 728-9916

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.89 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19294NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Medical Clinic P.C. CurrentSince Feb 1, 2002 Accepting new patients
Arbor Care Centers - Ord LLC Past Accepting new patients
Nebraska Heart Institute PC Past Accepting new patients

Locations

1820 N St
#2
Ord, NE 68862
Phone (308) 728-9916

1820 N St
Ord, NE 68862
Phone (308) 728-3154

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 8

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1033147285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 N ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621623",
            "telephone_number": "308-728-9916",
            "fax_number": "308-728-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621623",
            "telephone_number": "308-728-9916",
            "fax_number": "308-728-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DANIEL",
        "middle_name": "MERRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35859",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47084643200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ord, NE

Sources for this page

Verify at the official NPI Registry.