Individual provider Active NPI

Marie Ernesti, DC

  • Chiropractor
  • Burwell, NE
National Provider Identifier
1306188115
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1747 Issued in NE
Practice address
177 S 8TH Ave
Burwell, NE 68823-0515
Phone
(308) 346-5191
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1747 NE Primary

Addresses

Primary practice location

177 S 8TH Ave
Burwell, NE 68823-0515

Mailing address

PO Box 515
Burwell, NE 68823-0515
Phone (308) 346-5191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130821000150 NE Practitioner - Chiropractic 4486897584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

406 W Main St
Sargent, NE 68874-6101
Phone (308) 527-3431

PO Box
Suite 221
Sargent, NE 68874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1747NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roberts Chiropractic LLC Chiropractor CurrentSince Apr 15, 2013 Accepting new patients
Chaffin Chiropractic Clinic, P.C. Chiropractor PastSince Jun 1, 2005 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1306188115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "BURWELL",
            "state": "NE",
            "postal_code": "688230515",
            "telephone_number": "308-346-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 S 8TH AVE",
            "city": "BURWELL",
            "state": "NE",
            "postal_code": "688230515",
            "telephone_number": "308-346-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNESTI",
        "first_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burwell, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.