Erica Dorn

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

113148 Issued in NE

Practice address

1406 Q St
Franklin, NE 68939-1010

Phone

(308) 425-6221

NPI assigned

Jun 6, 2020

Last updated

Sep 4, 2021By 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

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Franklin County Memorial HospitalGroup PAC ID 9537055975, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franklin County Memorial Hospital Hospital, Franklin, NE, CCN 281311
• CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
• Kearney County Health Services Hospital Hospital, Minden, NE, CCN 281306

Merit-based Incentive Payment System (MIPS)

Final score

92.2 of 100Reported as group

Quality

88.55

Promoting interoperability

95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Franklin County Memorial Hospital

  • Critical Access Hospital
  • Franklin, NE
  • NPI 1255334660
  Medicare reassignment Care Compare group NPD
• Franklin County Memorial Hospital

  dba Main Street Medical Clinic

  • Rural Health Clinic/Center
  • Red Cloud, NE
  • NPI 1346808607
  NPD
• Franklin County Memorial Hospital

  dba FCMH Pool Medical Clinic

  • Rural Health Clinic/Center
  • Franklin, NE
  • NPI 1164465829
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franklin County Memorial Hospital

  • Critical Access Hospital
  • Franklin, NE
  • NPI 1255334660
  Care Compare affiliation
• Good Samaritan Hospital

  dba CHI Health Richard Young Behavioral Health

  • Psychiatric Hospital Unit
  • Kearney, NE
  • NPI 1114942869
  Care Compare affiliation
• Good Samaritan Hospital

  dba CHI Health Good Samaritan

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1336184019
  Care Compare affiliation
• Kearney Co Health Services

  dba Kearney County Health Services

  • Critical Access Hospital
  • Minden, NE
  • NPI 1477585958
  Care Compare affiliation

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

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1295359131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 Q ST",
            "city": "FRANKLIN",
            "state": "NE",
            "postal_code": "689391010",
            "telephone_number": "308-425-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 Q ST",
            "city": "FRANKLIN",
            "state": "NE",
            "postal_code": "689391010",
            "telephone_number": "308-425-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORN",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-06",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Banzhaf
• Amanda Boston, PTA
• Tiffany L Byrkit, PA-C
• Center Creek Counseling
• Rebecca Elizabeth Conrad
• Franklin Care and Rehabilitation Center, LLC
• Franklin County Memorial Hospital (FCMH Pool Medical Clinic)
• Franklin County Memorial Hospital
• Franklin County Senior Services, Inc
• Franklin Operations LLC

• Family Nurse Practitioner in Franklin, NE
• Providers in Franklin, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; 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.
• 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.