Active NPI
Western Cpap Supply, LLC
- Durable Medical Equipment & Medical Supplies
- Gering, NE
National Provider Identifier
1053472191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WESTERN CPAP SUPPLY, LLC
- Practice address
- 2855 10TH St Ste C
Gering, NE 69341-2202 - Phone
- (308) 633-3002
- Fax
- (308) 633-3001
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Alan Schultz, RPSGT
- Title
- Owner
- Phone
- (308) 633-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2855 10TH St Ste C
Gering, NE 69341-2202
Mailing address
2855 10TH St Ste C
Gering, NE 69341-2202
Phone (308) 633-3002
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025548500 | Medicaid | NE | |
| 134338749 69361 0000 | Other | TRICARE | |
| 09054 | Other | NE | BCBS NEBRASKA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wsm@westernsleep.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930011117 | NE | DME Supplier - Medical Supply Company | 8325241078 | Practice locations: Gering, NE |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Cheyenne, WY
- NPI 1821220955
8325241078
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Western Cpap Supply, LLC | Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Western Cpap Supply LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Cheyenne, WY
- NPI 1821220955
-
- Durable Medical Equipment & Medical Supplies
- Cheyenne, WY
- NPI 1679734958
Locations
2855 10th St
Ste C
Gering, NE 69341
Phone (308) 633-3002
416 Valley View Dr
Ste 307
Scottsbluff, NE 69361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653264000000",
"number": "1053472191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 10TH ST STE C",
"city": "GERING",
"state": "NE",
"postal_code": "693412202",
"telephone_number": "308-633-3002",
"fax_number": "308-633-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 10TH ST STE C",
"city": "GERING",
"state": "NE",
"postal_code": "693412202",
"telephone_number": "308-633-3002",
"fax_number": "308-633-3001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN CPAP SUPPLY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "308-633-3000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPSGT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025548500",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "134338749 69361 0000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NEBRASKA",
"identifier": "09054",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wsm@westernsleep.net",
"affiliation": "N",
"endpointDescription": "Western CPAP Supply, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2855 10th St Ste C",
"city": "Gering",
"state": "NE",
"country_code": "US",
"postal_code": "693412202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gering, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.