Individual provider Active NPI

Rebecca Rae Clouse, FNP-C

  • Family Nurse Practitioner
  • Sidney, NE
National Provider Identifier
1194422584
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114640 Issued in NE
Practice address
1000 Pole Creek Xing Ste 1
Sidney, NE 69162-2902
Phone
(308) 254-5544
Fax
(308) 254-2672
NPI assigned
Feb 15, 2023
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 114640 NE Primary

Addresses

Primary practice location

1000 Pole Creek Xing Ste 1
Sidney, NE 69162-2902

Mailing address

610 Glover Rd
Sidney, NE 69162-3049
Phone (308) 254-4752

Other names 1

  • Rebecca Clouse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230309000378 NE Practitioner - Nurse Practitioner 0840663019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Pole Creek Xing
Sidney, NE 69162-2900

1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (308) 254-5825

610 Glover Rd
Suite 3
Sidney, NE 69162-3050
Phone (308) 254-8736

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne County Hospital Association Inc CurrentSince Feb 15, 2023 Accepting new patients
Cheyenne County Hospital Association CurrentSince Feb 15, 2023 Accepting new patients

Locations

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1194422584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 GLOVER RD",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691623049",
            "telephone_number": "308-254-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING STE 1",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622902",
            "telephone_number": "308-254-5544",
            "fax_number": "308-254-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "REBECCA",
        "middle_name": "RAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CLOUSE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sidney, NE

Sources for this page

Verify at the official NPI Registry.