NPIMap

Individual provider Active NPI

John West, M.D.

  • Family Medicine Physician
  • McCook, NE
National Provider Identifier
1063485290
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19111 Issued in NE
Practice address
1301 E H St
MC Cook, NE 69001-3482
Phone
(308) 344-4110
Fax
(308) 344-8369
NPI assigned
Feb 8, 2006
Last updated
Jan 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19111 NE Primary

Addresses

Primary practice location

1301 E H St
MC Cook, NE 69001-3482

Mailing address

PO Box 1207
MC Cook, NE 69001-1207
Phone (308) 344-4110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100306000339 NE Practitioner - Family Practice 8628167459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital AssociationGroup PAC ID 9133101629, shared by 6 NPIs, 26 clinicians

Practice addresses (Care Compare)

1301 E H St
Community Hospital
MC Cook, NE 69001-3482
Phone (308) 344-2650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19111NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Association CurrentSince Dec 31, 2015 Accepting new patients
Community Hospital Association Family Medicine CurrentSince Dec 31, 2015 Accepting new patients
Community Hospital Association Current Accepting new patients
Red Willow County Hillcrest Nursing Home Past Accepting new patients
Community Hospital Association Past Accepting new patients

Locations

1301 E H St
McCook, NE 69001
Phone (308) 344-2650

Interoperability endpoints

  • Direct secure messaging: johnwest@mccpc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hillcrest Nursing HomeMC Cook, NE, CCN 285080 Skilled nursing facility Adp of the SNF Dec 20, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 6

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1063485290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1207",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690011207",
            "telephone_number": "308-344-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E H ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013482",
            "telephone_number": "308-344-4110",
            "fax_number": "308-344-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCook, NE

Sources for this page

Verify at the official NPI Registry.