Active NPI
Beth Brey, APRN
- Acute Care Nurse Practitioner
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 110332
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026072500 | Medicaid | NE | |
| 47070592300 | Medicaid | NE | |
| 10026072600 | Medicaid | NE | |
| 47070592301 | Medicaid | NE | |
| 47070592305 | Medicaid | NE | |
| 47070592302 | Medicaid | NE | |
| 47070592306 | Medicaid | NE | |
| 47070592313 | Medicaid | NE |
Other names 1
- Beth Otto
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- CHI Health Schuyler
- CHI Health Nebraska Heart
- CHI Health St. Elizabeth
- Columbus Community Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110332 | NE | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHI Health Clinic Specialty, LLC | Current | Accepting new patients | |
| The Physician Network | Past | 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.
-
- Ambulatory Surgical Clinic/Center
- North Platte, NE
- NPI 1306058425
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1437184652
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Schuyler, NE
- NPI 1568547032
Hospital
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.