Jody Ann Herley, APRN-FNP

Individual provider Active NPI Family Nurse Practitioner · Norfolk, NE

NPI 1326600271 · NPPES record last updated Jul 1, 2019

Key facts

NPI
1326600271
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
112806 (NE)
Practice address
111 Kings Way
Norfolk, NE 68701-3301
Phone
(402) 992-1785
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLC (194 clinicians)

Practice addresses (Care Compare)

2700 W Norfolk Ave
Faith Regional Health Services
Norfolk, NE 68701-4438
Phone (402) 371-4880

Hospital & facility affiliations

  • Faith Health Hospital · Norfolk, NE · CCN 280125
  • Avera Creighton Hospital Hospital · Creighton, NE · CCN 281331
  • Avera St Anthony'S Hospital Hospital · O' Neill, NE · CCN 281329

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100 (group)
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20191231001532 NE Practitioner - Nurse Practitioner 3870927759 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
112806NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC Current
since Dec 16, 2019
Accepting new patients
Faith Regional Physician Services, LLC Current
since Dec 16, 2019
Accepting new patients

Locations

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112806 NE Yes

Addresses

Primary practice location

111 Kings Way
Norfolk, NE 68701-3301

Mailing address

111 Kings Way
Norfolk, NE 68701-3301
Phone (402) 992-1785

Other identifiers

IdentifierTypeStateIssuer
112806OtherNESTATE OF NEBRASKA

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jody.herley@unmc.edu Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2019.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1326600271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KINGS WAY",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013301",
            "telephone_number": "402-992-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 KINGS WAY",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013301",
            "telephone_number": "402-992-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERLEY",
        "first_name": "JODY",
        "middle_name": "ANN",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEBRASKA",
            "identifier": "112806",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jody.herley@unmc.edu",
            "affiliation": "N",
            "endpointDescription": "jody.herley@unmc.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Norfolk",
            "address_1": "111 Kings Way",
            "city": "Norfolk",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687013301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norfolk, NE

All providers in Norfolk, NE · Family Nurse Practitioner in Nebraska

Sources for this page

Verify at the official NPI Registry.