Individual provider Active NPI

Danny Roelfs, PA-C

  • Physician Assistant
  • North Platte, NE
National Provider Identifier
1255666111
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1481 Issued in NE
Practice address
2509 Halligan Dr Ste E
North Platte, NE 69101-7858
Phone
(308) 313-3344
NPI assigned
Oct 12, 2009
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1481 NE Primary

Addresses

Primary practice location

2509 Halligan Dr Ste E
North Platte, NE 69101-7858

Mailing address

9380 S Coyote LN
North Platte, NE 69101-9081

Other practice location 1

601 W Leota St
North Platte, NE 69101-6525
Phone (308) 696-8000

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
I20100330000110 NE Practitioner - Physician Assistant 9032245048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Nebraska Dermatology Clinic PCGroup PAC ID 9537394499, 2 clinicians

Practice addresses (Care Compare)

2509 Hallligan Dr E
North Platte, NE 69101
Phone (308) 532-4165

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation CurrentSince Apr 8, 2018 Accepting new patients
North Platte Nebraska Physician Group LLC Past Accepting new patients

Locations

215 McNeel Ln
North Platte, NE 69101
Phone (308) 534-6655

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

Organizations & group practices 4

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 2

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": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1255666111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9380 S COYOTE LN",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691019081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 HALLIGAN DR STE E",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691017858",
            "telephone_number": "308-313-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Leota St",
            "address_purpose": "LOCATION",
            "city": "North Platte",
            "state": "NE",
            "postal_code": "691016525",
            "country_code": "US",
            "telephone_number": "308-696-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROELFS",
        "first_name": "DANNY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-12",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.