Individual provider Active NPI

Beth Brey, APRN

  • Acute Care Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1104914282
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
110332 Issued in NE
Practice address
7440 S 91St St
Lincoln, NE 68526-9797
Phone
(402) 489-6555
Fax
(402) 328-3770
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 110332 NE Primary
Adult Health Nurse Practitioner 363LA2200X 110332 NE

Addresses

Primary practice location

7440 S 91St St
Lincoln, NE 68526-9797

Mailing address

7440 S 91St St
Lincoln, NE 68526-9797
Phone (402) 489-6555

Other identifiers 8

IdentifierTypeStateIssuer
10026072500MedicaidNE
47070592300MedicaidNE
10026072600MedicaidNE
47070592301MedicaidNE
47070592305MedicaidNE
47070592302MedicaidNE
47070592306MedicaidNE
47070592313MedicaidNE

Other names 1

  • Beth Otto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090114000688 NE Practitioner - Nurse Practitioner 3577626787 Reassigns benefits to 1 organization
I20110830000236 KS Practitioner - Nurse Practitioner 3577626787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLC 317 clinicians

Practice addresses (Care Compare)

104 W 17TH St
Schuyler, NE 68661-1304
Phone (402) 352-2441

1301 Grundman Blvd
Nebraska City, NE 68410-3319
Phone (402) 873-3321

300 E 12TH St
Cozad Community Hospital
Cozad, NE 69130-1505
Phone (308) 784-2261

555 S 70TH St
St Elizabeth Regional Med Center
Lincoln, NE 68510-2462
Phone (402) 219-8000

7440 S 91St St
Lincoln, NE 68526-9797

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

Hospital & facility affiliations

  • Community Medical Center, Inc Hospital, Falls City, NE, CCN 281352
  • CHI Health Schuyler Hospital, Schuyler, NE, CCN 281323
  • CHI Health Nebraska Heart Hospital, Lincoln, NE, CCN 280128
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
  • Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
110332NEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC CurrentSince Jul 1, 2021 Accepting new patients
The Physician Network PastSince Sep 1, 2011 Accepting new patients
North Platte Heart Institute PC Past Accepting new patients

Locations

708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311

614 S Main St
Smith Center, KS 66967
Phone (785) 282-6845

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

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.

Hospital & facility affiliations 5

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1104914282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 S 91ST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269797",
            "telephone_number": "402-489-6555",
            "fax_number": "402-328-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 S 91ST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269797",
            "telephone_number": "402-489-6555",
            "fax_number": "402-328-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREY",
        "first_name": "BETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "110332",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NE",
            "license": "110332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026072500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026072600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592301",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592305",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592302",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592306",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592313",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "OTTO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.