Individual provider Active NPI

Nadia Ann McCann, APRN

  • Primary Care Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1053700245
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
111775 Issued in NE
Practice address
2820 E US Highway 34
Grand Island, NE 68801-9734
Phone
(308) 210-2025
Fax
(308) 210-2433
NPI assigned
Jan 12, 2015
Last updated
Dec 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 111775 NE Primary

Addresses

Primary practice location

2820 E US Highway 34
Grand Island, NE 68801-9734

Mailing address

2820 E US Highway 34
Grand Island, NE 68801-9734
Phone (308) 210-2025

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
I20150408000242 NE Practitioner - Nurse Practitioner 9234457078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Rivers Urgent Care LLCGroup PAC ID 6406860543, 20 clinicians

Practice addresses (Care Compare)

3203 Osborne Dr W
Suite 101
Hastings, NE 68901-9140
Phone (402) 834-1005

750 Allen Dr
Grand Island, NE 68803-3328
Phone (308) 384-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1053700245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E US HIGHWAY 34",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688019734",
            "telephone_number": "308-210-2025",
            "fax_number": "308-210-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E US HIGHWAY 34",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688019734",
            "telephone_number": "308-210-2025",
            "fax_number": "308-210-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "NADIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "111775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.