Individual provider Active NPI

Jennifer L Chavez, APRN

  • Family Nurse Practitioner
  • Hastings, NE
National Provider Identifier
1417650250
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114631 Issued in NE
Practice address
726 Eastside Blvd
Hastings, NE 68901-4530
Phone
(402) 834-3368
NPI assigned
Mar 22, 2023
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 114631 NE Primary

Addresses

Primary practice location

726 Eastside Blvd
Hastings, NE 68901-4530

Mailing address

403 Lexington Cir
Grand Island, NE 68803-9728
Phone (308) 675-3222

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
I20230717001758 NE Practitioner - Nurse Practitioner 5092175448 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114631NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thayer County Memorial Hospital CurrentSince Feb 1, 2024 Accepting new patients
Go Physical Therapy, LLC CurrentSince Nov 20, 2023 Accepting new patients
Grand Island Mental Health LLC CurrentSince Jun 1, 2023 Accepting new patients
Thayer County Memorial Hospital CurrentSince Feb 1, 2024 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Mar 31, 2024 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Mar 31, 2024 Accepting new patients
Hastings Family Practice, P.C Past Accepting new patients

Locations

2815 S Locust St
Grand Island, NE 68801
Phone (308) 350-0350

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

726 Eastside Blvd
Hastings, NE 68901
Phone (402) 463-2085

120 Park Ave
Hebron, NE 68370
Phone (402) 768-6041

727 E 1st St
Minden, NE 68959
Phone (308) 832-1440

Interoperability endpoints

  • Direct secure messaging: jchavez369983@direct.nebraskamed.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1417650250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LEXINGTON CIR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688039728",
            "telephone_number": "308-675-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 EASTSIDE BLVD",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014530",
            "telephone_number": "402-834-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.