Individual provider Active NPI

Kourtney Sabala

  • Psychiatric/Mental Health Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1043760960
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
112101 Issued in NE
Practice address
321 E 3Rd St
North Platte, NE 69101-4032
Phone
(308) 221-4651
Fax
(308) 217-1643
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 112101 NE Primary

Addresses

Primary practice location

321 E 3Rd St
North Platte, NE 69101-4032

Mailing address

321 E 3Rd St
North Platte, NE 69101-4032
Phone (308) 221-4651

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
I20170109001656 NE Practitioner - Nurse Practitioner 4385925270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric HopeGroup PAC ID 0547667578, 3 clinicians

Practice addresses (Care Compare)

321 E 3Rd St
North Platte, NE 69101-4032
Phone (308) 221-4651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
112101NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Hope Psychiatric/Mental Health CurrentSince Sep 2, 2021 Accepting new patients
Platte Valley Womens Healthcare, PC CurrentSince Jul 16, 2018 Accepting new patients

Locations

810 W Reid Ave
Ste 2
North Platte, NE 69101
Phone (308) 221-2020

321 E 3rd St
North Platte, NE 69101
Phone (308) 221-4651

810 W Reid Ave
Ste 4
North Platte, NE 69101
Phone (308) 534-0090

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1043760960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E 3RD ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014032",
            "telephone_number": "308-221-4651",
            "fax_number": "308-217-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E 3RD ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014032",
            "telephone_number": "308-221-4651",
            "fax_number": "308-217-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABALA",
        "first_name": "KOURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "112101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.