Individual provider Active NPI

Jamie Renae Kuper, APRN

  • Family Nurse Practitioner
  • Imperial, NE
National Provider Identifier
1326757345
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114521 Issued in NE
Practice address
600 W 12TH St
Imperial, NE 69033-3130
Phone
(308) 882-7111
NPI assigned
Nov 17, 2022
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 114521 NE Primary

Addresses

Primary practice location

600 W 12TH St
Imperial, NE 69033-3130

Mailing address

600 W 12TH St
Imperial, NE 69033-3130
Phone (308) 882-7111

Other names 1

  • Jamie Johnson Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221209001105 NE Practitioner - Nurse Practitioner 2062881238 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chase County Community HospitalGroup PAC ID 2567436736, shared by 5 NPIs, 8 clinicians

Practice addresses (Care Compare)

600 W 12TH St
Imperial, NE 69033-3131
Phone (308) 882-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114521NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chase County Community Hospital CurrentSince Jan 1, 2023 Accepting new patients
Chase County Community Hospital Current Accepting new patients
Garden County Hospital & Nursing Home CurrentSince Jul 1, 2024 Accepting new patients
Garden County Hospital & Nursing Home CurrentSince Jul 1, 2024 Accepting new patients
Chase County Community Hospital Past Accepting new patients

Locations

600 W 12th St
Imperial, NE 69033
Phone (308) 882-7111

1100 W 2nd St
Oshkosh, NE 69154
Phone (308) 772-3283

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e699c25a-4b9f-4771-9576-e790a1116e0f/
  • Direct secure messaging: jamie.kuper.p1@direct.rwgcrhc.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1326757345",
    "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": "690333130",
            "telephone_number": "308-882-7111"
        },
        {
            "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": "690333130",
            "telephone_number": "308-882-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPER",
        "first_name": "JAMIE",
        "middle_name": "RENAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Imperial, NE

Sources for this page

Verify at the official NPI Registry.