Thomas N Fennessy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5291 Issued in SD

Practice address

2501 Lakeridge Dr Ste 104
Norfolk, NE 68701-2558

Phone

(402) 368-9964

Fax

(402) 368-5675

NPI assigned

Jul 31, 2006

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE, SD, TX3 enrollments

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 3

Specialty

Family Practice

Education

University of Nebraska College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Howard County Medical CenterGroup PAC ID 5698775849, 28 clinicians

Memorial Health Care SystemsGroup PAC ID 3274528989, shared by 6 NPIs, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Health Care Systems Hospital, Seward, NE, CCN 281339
• Howard County Medical Center Hospital, St Paul, NE, CCN 281338
• PHS Indian Hospital at Rosebud Hospital, Rosebud, SD, CCN 430084

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomas.fennessy.1@13408.direct.athenahealth.com

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.

• Howard County Medical Center

  dba HCMC Clinic - Non-RHC

  • Family Medicine Physician
  • Saint Paul, NE
  • NPI 1154626216
  Medicare reassignment Care Compare group NPD
• Lexington Regional Health Center

  dba Lexington Regional Health Center Professional Services

  • Emergency Medicine Physician
  • Lexington, NE
  • NPI 1316016165
  Medicare reassignment NPD
• Memorial Health Care Systems

  dba MHCS Clinic Professional Services

  • Family Medicine Physician
  • Seward, NE
  • NPI 1699845016
  Medicare reassignment NPD
• Saunders Medical Center

  • Critical Access Hospital
  • Wahoo, NE
  • NPI 1831188705
  Medicare reassignment NPD
• Winnebago Tribe of Nebraska

  dba Winnebago Comprehensive Healthcare Systems

  • Clinic/Center
  • Winnebago, NE
  • NPI 1033608328

  TX

  Medicare reassignment NPD
• Huron Regional Medical Center Inc

  • Critical Access Hospital
  • Huron, SD
  • NPI 1154312429
  Medicare reassignment NPD
• Rosebud Indian Health Service

  dba Rosebud Indian Health Service Hospital

  • General Acute Care Hospital
  • Rosebud, SD
  • NPI 1194757369

  TX

  Medicare reassignment NPD
• Lexington Regional Health Center

  • Critical Access Hospital
  • Lexington, NE
  • NPI 1467417352
  Medicare reassignment
• Howard County Medical Center

  dba Loup City Medical Clinic

  • Family Medicine Physician
  • Loup City, NE
  • NPI 1265885479
  NPD
• Lexington Regional Health Center

  dba Lexington Regional Health Center Medical Clinic

  • Rural Health Clinic/Center
  • Lexington, NE
  • NPI 1144888579

  Family Medicine

  NPD
• Memorial Health Care Systems

  dba Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Seward, NE
  • NPI 1013087089
  NPD
• Winnebago Tribe of Nebraska

  dba Winnebago Tribal Rescue and Ambulance

  • Land Ambulance
  • Winnebago, NE
  • NPI 1295720811
  NPD

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

• Rosebud Indian Health Service

  • General Acute Care Hospital
  • Rosebud, SD
  • NPI 1427419282
  Care Compare affiliation Name & address match
• Howard County Medical Center

  • Critical Access Hospital
  • Saint Paul, NE
  • NPI 1922106152
  Care Compare affiliation
• Memorial Health Care Systems

  dba Memorial Hospital

  • Critical Access Hospital
  • Seward, NE
  • NPI 1770662512
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1356357149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 MIMICK DR",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013350",
            "telephone_number": "402-992-0659",
            "fax_number": "402-625-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 LAKERIDGE DR STE 104",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012558",
            "telephone_number": "402-368-9964",
            "fax_number": "402-368-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNESSY",
        "first_name": "THOMAS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "34333",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22583",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "5291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01724",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kailee Marie Feenstra
• Feidler Eye Clinic PC
• Feidler Optical Company
• Ann Michelle Feidler-Klein, O.D.
• Herbert Dean Feidler, M.D.
• Britttanie Ferden
• Angela Ferdinand
• Jennifer Ferdinand
• Kenneth Ferdinand
• Marcus Ferguson

• Family Medicine Physician in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.