Individual provider Active NPI

Brenna Ogley

  • Family Nurse Practitioner
  • Sidney, NE
National Provider Identifier
1053014506
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114678 Issued in NE
Practice address
610 Glover Rd Ste 4
Sidney, NE 69162-3050
Phone
(308) 254-4752
NPI assigned
Mar 23, 2023
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 114678 NE Primary

Addresses

Primary practice location

610 Glover Rd Ste 4
Sidney, NE 69162-3050

Mailing address

610 Glover Rd Ste 4
Sidney, NE 69162-3050
Phone (308) 254-4752

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
I20230406001672 NE Practitioner - Nurse Practitioner 2668847575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

610 Glover Rd
Suite 3
Sidney, NE 69162-3050
Phone (308) 254-8736

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114678NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne County Hospital Association Inc CurrentSince Mar 26, 2023 Accepting new patients
Cheyenne County Hospital Association Inc CurrentSince Mar 13, 2023 Accepting new patients
Cheyenne County Hospital Association CurrentSince Mar 13, 2023 Accepting new patients

Locations

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

1000 Pole Creek Xing
Ste 1
Sidney, NE 69162
Phone (308) 254-5544

610 Glover Rd
Ste 4
Sidney, NE 69162
Phone (308) 254-4527

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 1

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": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1053014506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 GLOVER RD STE 4",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691623050",
            "telephone_number": "308-254-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 GLOVER RD STE 4",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691623050",
            "telephone_number": "308-254-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLEY",
        "first_name": "BRENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, NE

Sources for this page

Verify at the official NPI Registry.