Individual provider Active NPI

Julie Christine Thies, NP

  • Nurse Practitioner
  • Lexington, NE
National Provider Identifier
1346645447
Registry record updated Feb 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112356 Issued in NE
Practice address
1201 N Erie St
Lexington, NE 68850-1560
Phone
(308) 324-5651
Fax
(308) 324-8359
NPI assigned
Oct 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 53-76378-091 KS
Nurse Practitioner 363L00000X 112356 NE Primary

Addresses

Primary practice location

1201 N Erie St
Lexington, NE 68850-1560

Mailing address

PO Box 980
Lexington, NE 68850-0980
Phone (308) 324-5651

Other practice location 1

N10561 Grandview Ln
Ironwood, MI 49938-9622
Phone (906) 932-2525

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
I20180301000097 NE Practitioner - Nurse Practitioner 3678896693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetricians and Gynecologists PCGroup PAC ID 1951312024, 10 clinicians

Practice addresses (Care Compare)

2115 N Kansas Ave
Suite 204
Hastings, NE 68901-2615
Phone (402) 463-6793

Hospital & facility affiliations

  • Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
112356NEMDNurse Practitioner
53-76378-091KSMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetricians & Gynecologists, P.C. CurrentSince Nov 1, 2018 Accepting new patients
Nebraska Methodist Hospital Nurse Practitioner Past Accepting new patients

Locations

1010 N Diers Ave
Ste 4B
Grand Island, NE 68803
Phone (402) 463-6793

2115 N Kansas Ave
Ste 204
Hastings, NE 68901
Phone (402) 463-6793

1201 N Erie St
Lexington, NE 68850
Phone (308) 324-5651

Interoperability endpoints

  • Direct secure messaging: jthies228597@direct.nebraskamed.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCEJBD

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.

Hospital & facility affiliations 2

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": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519516800000",
    "number": "1346645447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688500980",
            "telephone_number": "308-324-5651",
            "fax_number": "308-324-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N ERIE ST",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501560",
            "telephone_number": "308-324-5651",
            "fax_number": "308-324-8359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N10561 Grandview Ln",
            "address_purpose": "LOCATION",
            "city": "Ironwood",
            "state": "MI",
            "postal_code": "499389622",
            "country_code": "US",
            "telephone_number": "906-932-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIES",
        "first_name": "JULIE",
        "middle_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2018-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KS",
            "license": "53-76378-091",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NE

Sources for this page

Verify at the official NPI Registry.