Organization Active NPI

Western Cpap Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Gering, NE
National Provider Identifier
1053472191
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on May 23, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10025548500MedicaidNE
134338749 69361 0000OtherTRICARE
09054OtherNEBCBS NEBRASKA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wsm@westernsleep.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Western Cpap Supply, LLC2855 10TH St, Gering, NE 69341-2202(308) 633-3002 Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices Does not accept assignmentParticipating since Jan 1, 2017

National Provider Directory

National Provider Directory
Tax ID family
Western Cpap Supply LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.