Natasha Nicole Kelley-Wise, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

113722 Issued in NE

Practice address

816 22ND Ave
Suite 100
Kearney, NE 68845-2206

Phone

(308) 865-2263

Fax

(308) 865-2541

NPI assigned

Aug 2, 2021

Last updated

Aug 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brad Rodgers MD Family Practice & Sports Medicine

  • Family Medicine Physician
  • Kearney, NE
  • NPI 1861941999
  Medicare reassignment NPD
• Bryan Hospital Kearney

  dba Kearney Regional Medical Center Platte Valley Medical Clinic

  • Family Medicine Physician
  • Kearney, NE
  • NPI 1033875380
  Medicare reassignment NPD
• Bryan Hospital Kearney

  dba Kearney Regional Medical Center

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1407513484
  NPD
• Platte Valley Medical Group, P.C.

  • Internal Medicine Physician
  • Kearney, NE
  • NPI 1144203324
  NPD (past)

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1447924758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 22ND AVE",
            "address_2": "SUITE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452206",
            "telephone_number": "308-865-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 22ND AVE",
            "address_2": "SUITE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452206",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY-WISE",
        "first_name": "NATASHA",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drake Kee, PA
• Amy M Kehl
• Katherine A Keifer, MD
• Audrey Rebecca Keim, PT, DPT
• Susan Kay Keizer, MSED, RD, LMNT, CDE
• Ashley Kelley, CPSS
• Mike B Kelly, M.A., LIMHP, PLADC,
• Kemp Family Chiropractic PC
• Alexander Thomas Kemp, DC
• Travis Jay Kemp, DC

• Nurse Practitioner in Kearney, NE
• Providers in Kearney, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.