Active NPI
Jenifer Elaine Fowler, APRN
- Psychiatric/Mental Health Nurse Practitioner
- North Platte, NE
National Provider Identifier
1083629430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 110519
- Practice address
- 321 E 3Rd St
North Platte, NE 69101-4032 - Phone
- (308) 221-4651
- Fax
- (308) 221-1643
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 110519 | NE | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 110519 | NE |
Addresses
Primary practice location
321 E 3Rd St
North Platte, NE 69101-4032
Mailing address
321 E 3Rd St
North Platte, NE 69101-4032
Phone (308) 221-4651
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
321 E 3Rd St
North Platte, NE 69101-4032
Phone (308) 221-4651
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110519 | NE | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Hope | Psychiatric/Mental Health | Current | Accepting new patients |
| Dr. Deb'S Express Medical Care | Past | Accepting new patients | |
| Precise Family Care, PC | Past | Accepting new patients |
Locations
321 E 3rd St
North Platte, NE 69101
Phone (308) 221-4651
Interoperability endpoints
- https://api.platform.athenahealth.com/20827/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- North Platte, NE
- NPI 1437824992
-
- Emergency Medicine Physician
- North Platte, NE
- NPI 1609747336
-
- Family Nurse Practitioner
- North Platte, NE
- NPI 1992182620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1083629430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 E 3RD ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691014032",
"telephone_number": "308-221-4651",
"fax_number": "308-221-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 E 3RD ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691014032",
"telephone_number": "308-221-4651",
"fax_number": "308-221-1643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "JENIFER",
"middle_name": "ELAINE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NE",
"license": "110519",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NE",
"license": "110519",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.