Individual provider Active NPI

Kevin R. Harriger, APRN

  • Nurse Practitioner
  • Scottsbluff, NE
National Provider Identifier
1265668032
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111020 Issued in NE
Practice address
3210 Avenue B
Scottsbluff, NE 69361-4303
Phone
(308) 630-0800
Fax
(308) 630-0842
NPI assigned
Jun 6, 2009
Last updated
Mar 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111020 NE Primary

Addresses

Primary practice location

3210 Avenue B
Scottsbluff, NE 69361-4303

Mailing address

PO Box 520
Bridgeport, NE 69336-0520
Phone (308) 262-1755

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
I20090623000384 NE Practitioner - Nurse Practitioner 0244381721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quick Care Medical Services IncGroup PAC ID 8729058680, 5 clinicians

Practice addresses (Care Compare)

3210 Ave B
Scottsbluff, NE 69361-4303
Phone (308) 630-0800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quick Care Medical Services Inc CurrentSince Jun 13, 2016 Accepting new patients

Locations

3210 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-0800

Organizations & group practices 1

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": "1244246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1265668032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "BRIDGEPORT",
            "state": "NE",
            "postal_code": "693360520",
            "telephone_number": "308-262-1755",
            "fax_number": "308-262-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 AVENUE B",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614303",
            "telephone_number": "308-630-0800",
            "fax_number": "308-630-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIGER",
        "first_name": "KEVIN",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-06",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.