Nicole M Havel, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1224 Issued in NE

Practice address

600 W 12TH St
Imperial, NE 69033

Phone

(308) 882-7299

Fax

(308) 882-7341

NPI assigned

May 12, 2006

Last updated

Sep 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, KS2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/dundyco-ea364493

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.

• Dundy County Hospital

  • Critical Access Hospital
  • Benkelman, NE
  • NPI 1093802688
  Medicare reassignment NPD
• Dundy County Hospital

  • Family Medicine Physician
  • Benkelman, NE
  • NPI 1417030123
  Medicare reassignment NPD
• Great Plains of Smith Co., Inc.

  dba Smith County Family Practice

  • Family Medicine Physician
  • Smith Center, KS
  • NPI 1720025620
  Medicare reassignment NPD
• Community Healthcare Partners NE LLC

  • Primary Care Clinic/Center
  • Lincoln, NE
  • NPI 1588242929
  Medicare reassignment
• North Platte Nebraska Hospital Corporation

  dba Great Plains Health

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533
  Medicare reassignment
• Dundy County Hospital

  • Rural Health Clinic/Center
  • Benkelman, NE
  • NPI 1518047216
  NPD
• North Platte Nebraska Hospital Corporation

  dba Great Plains Health

  • Medical Oncology Physician
  • North Platte, NE
  • NPI 1134355332
  NPD
• Holy Cross Hospital Inc

  dba Holy Cross Medical Group

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1467401877
  NPD (past)
• Horizon Health Care, Inc

  dba Mellette County Health Center

  • Federally Qualified Health Center (FQHC)
  • White River, SD
  • NPI 1962511014
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1285684779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 12TH ST",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "690333131",
            "telephone_number": "308-882-7299",
            "fax_number": "308-882-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 12TH ST",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "69033",
            "telephone_number": "308-882-7299",
            "fax_number": "308-882-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEL",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Mae Forcella, PA-C
• Larissa Ann Gerhartz, P.T.A
• Great Plains N Urology PC
• Danial Joel Hanlon
• Dianne Harms, RPH
• Kala Sue Holmes
• Ashley Holscher, DPT
• Hometown Development (Hometown Pharmacy)
• Allyson Mara Jablonski, DNP, APRN-NP, FNP-BC
• James Douglas Kerr, MD

• Physician Assistant in Imperial, NE
• Providers in Imperial, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.