Individual provider Active NPI

Nathan I Van Winkle, MD

  • Family Medicine Physician
  • Bridgeport, NE
National Provider Identifier
1346863446
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35861 Issued in NE
Practice address
1313 S St
Bridgeport, NE 69336-2563
Phone
(308) 262-1616
Fax
(308) 262-0843
NPI assigned
May 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35861 NE Primary

Addresses

Primary practice location

1313 S St
Bridgeport, NE 69336-2563

Mailing address

1313 S St
Bridgeport, NE 69336-2563
Phone (308) 262-1616

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230828003532 NE Practitioner - Family Practice 9335567536 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morrill County Community Hospital 18 clinicians

Practice addresses (Care Compare)

1313 S St
Bridgeport, NE 69336-2563
Phone (308) 262-1616

Hospital & facility affiliations

  • Brookestone Home Health & Hospice Hospice, Gering, NE, CCN 281506
  • Morrill County Community Hospital Hospital, Bridgeport, NE, CCN 281318
  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
  • Sidney Regional Medical Center Hospital, Sidney, NE, CCN 281357
  • Chimney Rock Villa Nursing home, Bayard, NE, CCN 285260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35861NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morrill County Community Hospital Family Medicine Current Accepting new patients
Morrill County Community Hospital Current Accepting new patients
Antelope Memorial Hospital CurrentSince Aug 1, 2023 Accepting new patients
Morrill County Community Hospital Family Medicine CurrentSince Jan 13, 2025 Accepting new patients
Morrill County Community Hospital CurrentSince Jan 13, 2025 Accepting new patients
Antelope Memorial Hospital Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Fort Collins Radiologic Associates PC Past Accepting new patients
Morrill County Community Hospital Past Accepting new patients

Locations

1313 S St
#A
Bridgeport, NE 69336
Phone (308) 262-1755

1313 S St
Bridgeport, NE 69336
Phone (308) 262-1616

102 W 9th St
Neligh, NE 68756
Phone (402) 887-4151

Interoperability endpoints

  • Direct secure messaging: nvanwinkle165956@direct.nebraskamed.com
  • Direct secure messaging: nathanvanwinkle@mcch.medalliesdirect.net

Organizations & group practices 10

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 5

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": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1346863446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S ST",
            "city": "BRIDGEPORT",
            "state": "NE",
            "postal_code": "693362563",
            "telephone_number": "308-262-1616",
            "fax_number": "308-262-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S ST",
            "city": "BRIDGEPORT",
            "state": "NE",
            "postal_code": "693362563",
            "telephone_number": "308-262-1616",
            "fax_number": "308-262-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WINKLE",
        "first_name": "NATHAN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "35861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, NE

Sources for this page

Verify at the official NPI Registry.