Family Medical Center of Hastings

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICAL CENTER OF HASTINGS

Practice address

1021 W 14TH St
Hastings, NE 68901-3046

Phone

(402) 463-2423

Fax

(402) 463-9697

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Gerry Theisen

Title

Administrator

Phone

(402) 462-8456

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73360

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mackenzie J Hemje, MD

  • Family Medicine Physician
  • Hastings, NE
  • NPI 1700291085
  Medicare reassignment Care Compare group NPD
• Megan S Hunke-Lomax, MD

  • Family Medicine Physician
  • Hastings, NE
  • NPI 1679204523
  Medicare reassignment Care Compare group NPD
• Logan A Pritchard, DO

  • Family Medicine Physician
  • Hastings, NE
  • NPI 1255539730
  Medicare reassignment Care Compare group NPD
• Curtis D Reimer, MD

  • Family Medicine Physician
  • Hastings, NE
  • NPI 1851400915
  Medicare reassignment Care Compare group NPD
• David J Schram, MD

  • Family Medicine Physician
  • Hastings, NE
  • NPI 1689783763
  Medicare reassignment Care Compare group NPD
• Timothy C Zimmerman, MD

  • Family Medicine Physician
  • Hastings, NE
  • NPI 1528177698
  Medicare reassignment Care Compare group NPD
• Mackenzie C Boyer, PA-C

  • Physician Assistant
  • Hastings, NE
  • NPI 1598400129
  Medicare reassignment Care Compare group
• Allison M Kresnik, PA-C

  • Physician Assistant
  • Hastings, NE
  • NPI 1447964705
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1124131032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689020968",
            "telephone_number": "402-462-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W 14TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013046",
            "telephone_number": "402-463-2423",
            "fax_number": "402-463-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER OF HASTINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "THEISEN",
        "authorized_official_first_name": "GERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-462-8456"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "02842",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CO4191",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhemje@fmch.directbygreenway.com",
            "affiliation": "N",
            "address_1": "1021 W 14th St",
            "city": "Hastings",
            "state": "NE",
            "country_code": "US",
            "postal_code": "689013046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle A Ernst
• Valisity Lee Etherington
• Benjamin Fago, MD
• Brittany Megan Faimon, M.S.
• Family Foundation Services LLC
• Rebecca J Farrall, FNP-C
• Jeannette Fast
• Mary Faye Fattig, EDS
• Ashley Davis Favinger
• Jordyn Fayle

• Family Medicine Physician in Hastings, NE
• Providers in Hastings, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.