Jo Waara
Individual provider Active NPI Contractor · Madison, NE
NPI 1104621580 · NPPES record last updated Feb 18, 2025
Key facts
- NPI
- 1104621580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 512 N Main St
Madison, NE 68748-6118 - Phone
- (402) 454-3927
- NPI assigned
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Senior Center | Current |
Accepting new patients |
Locations
512 N Main St
Madison, NE 68748
Phone (402) 454-3927
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
512 N Main St
Madison, NE 68748-6118
Mailing address
512 N Main St
Madison, NE 68748-6118
Phone (402) 454-3927
Other providers in Madison, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.