Judith Kay Degraff, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20093 Issued in NE

Practice address

3512 S 75TH St
Lincoln, NE 68506-4607

Phone

(402) 440-8636

Fax

(402) 486-0243

NPI assigned

Sep 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Poplar Bluff Hma Physician Management, LLC

  • Family Medicine Physician
  • Poplar Bluff, MO
  • NPI 1598710147

  Surgery

  NPD (past)
• St Marys Physician Services, LLC

  • Interventional Cardiology Physician
  • Russellville, AR
  • NPI 1720356207
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1467544403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6213",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060213",
            "telephone_number": "402-440-8636",
            "fax_number": "402-486-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 S 75TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064607",
            "telephone_number": "402-440-8636",
            "fax_number": "402-486-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAFF",
        "first_name": "JUDITH",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "20093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470834574-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsa Marie Degarmo, PA
• Susan Degarmo
• Rylei Degen
• Alice Marie Degenhardt
• Michael Ray Degenhardt
• Charles Degrave
• Nathan Charles Degrave
• Terumi Degraw, MPAS, PA-C
• Ryan D Dehaan, M.D.
• Alexander Jacob Dehaas

• Surgery Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.