NPIMap

Individual provider Active NPI

Grant E Nitzel, M.D.

  • Family Medicine Physician
  • Hastings, NE
National Provider Identifier
1104821149
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25573 Issued in NE
Practice address
223 E 14TH St Ste 100
Hastings, NE 68901-3240
Phone
(402) 463-2929
Fax
(402) 463-2939
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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 25573 NE Primary

Addresses

Primary practice location

223 E 14TH St Ste 100
Hastings, NE 68901-3240

Mailing address

715 N Saint Joseph Ave
Hastings, NE 68901-4451
Phone (402) 460-5836

Other practice location 1

3016 W Faidley Ave
Grand Island, NE 68803-4109
Phone (308) 381-8546

Other practice location 2

606 N Minnesota Ave Ste 1
Hastings, NE 68901-5256
Phone (402) 461-5265

Other practice location 3

102 N Pine St
Blue Hill, NE 68930-5532
Phone (402) 756-2141

Other practice location 4

620 N Alpha St
Grand Island, NE 68803-4316
Phone (308) 675-2772

Other identifiers 1

IdentifierTypeStateIssuer
NA1676019OtherNEMEDICARE PTAN

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
I20121214000076 NE Practitioner - Family Practice 3577525005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Mary Lanning Memorial Hospital Association 129 clinicians

Practice addresses (Care Compare)

715 N Kansas Ave
Hastings, NE 68901-4438

715 N Saint Joseph Ave
Mary Lanning Healthcare
Hastings, NE 68901-4451
Phone (402) 463-4521

835 S Burlington Ave
108 Lanning Center for Behavioral Servi
Hastings, NE 68901-6928
Phone (402) 463-7711

Hospital & facility affiliations

  • Good Samaritan Society Home Health Home health agency, Grand Island, NE, CCN 287104
  • Good Samaritan Society - Hospice Hospice, Hastings, NE, CCN 281522
  • Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032
  • Good Samaritan Society - Hastings Village Nursing home, Hastings, NE, CCN 285072
  • Accura HealthCare of Kenesaw Nursing home, Kenesaw, NE, CCN 285166
  • Harvard Rest Haven Nursing home, Harvard, NE, CCN 285272

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25573NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Mary Lanning Memorial Hospital Association CurrentSince Sep 1, 2012 Accepting new patients
The Mary Lanning Memorial Hospital Association Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
The Mary Lanning Memorial Hospital Association Family Medicine CurrentSince Dec 16, 2019 Accepting new patients
Hastings Family Practice, P.C Family Medicine Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients

Locations

3016 W Faidley Ave
Grand Island, NE 68803
Phone (308) 381-8546

620 N Alpha St
Grand Island, NE 68803
Phone (308) 381-0473

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

223 E 14th St
Ste 100
Hastings, NE 68901
Phone (308) 382-4297

606 N Minnesota Ave
Ste 1
Hastings, NE 68901
Phone (402) 461-5265

835 S Burlington Ave
Ste 108
Hastings, NE 68901
Phone (402) 463-7711

715 N Kansas Ave
Ste 208
Hastings, NE 68901
Phone (402) 463-2929

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
Good Samaritan Society - Hastings VillageHastings, NE, CCN 285072 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2020
Dec 1, 2020

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 9

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.

Hospital & facility affiliations 7

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1104821149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014451",
            "telephone_number": "402-460-5836",
            "fax_number": "402-460-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E 14TH ST STE 100",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013240",
            "telephone_number": "402-463-2929",
            "fax_number": "402-463-2939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3016 W Faidley Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688034109",
            "country_code": "US",
            "telephone_number": "308-381-8546",
            "fax_number": "308-381-8550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 N Minnesota Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "NE",
            "postal_code": "689015256",
            "country_code": "US",
            "telephone_number": "402-461-5265",
            "fax_number": "402-461-5270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 N Pine St",
            "address_purpose": "LOCATION",
            "city": "Blue Hill",
            "state": "NE",
            "postal_code": "689305532",
            "country_code": "US",
            "telephone_number": "402-756-2141",
            "fax_number": "402-756-2142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 N Alpha St",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688034316",
            "country_code": "US",
            "telephone_number": "308-675-2772",
            "fax_number": "308-675-2828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NITZEL",
        "first_name": "GRANT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "25573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NA1676019",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.