Individual provider Active NPI

Jenifer Elaine Fowler, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1083629430
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
110519 Issued in NE
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

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000955 NE Practitioner - Nurse Practitioner 8022008952 Reassigns benefits to 1 organization

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
Psychiatric HopeGroup PAC ID 0547667578, 3 clinicians

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

LicenseStateTypeSpecialty
110519NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Hope Psychiatric/Mental Health CurrentSince Oct 28, 2024 Accepting new patients
Dr. Deb'S Express Medical Care PastSince Sep 21, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.