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
Hospital & facility affiliations 4
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
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
- Avera Creighton Hospital
- Avera St Anthony'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.77 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191231001532 | NE | Practitioner - Nurse Practitioner | 3870927759 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112806 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Regional Physician Services, LLC | Current |
Accepting new patients | |
| Faith Regional Physician Services, LLC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112806 | Other | NE | STATE OF NEBRASKA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jody.herley@unmc.edu | Direct |
NPI Registry JSON
{
"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
- Theresa Herchenbach
- Ruberlinda Heredia Arias
- Mariah Hergott
- Heritage at Fountain Point Operating LLC
- Heritage of Norfolk Inc
- Nathan D. G. Herman
- Dignay Hernandez Armada
- Raquel Hernandez Gonzalez
- Jazmin Hernandez
- Llolanda Hernandez
All providers in Norfolk, NE · Family Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.