Individual provider Active NPI

Teresa B Frahm, NP

  • Nurse Practitioner
  • Superior, NE
National Provider Identifier
1477530020
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110719 Issued in NE
Practice address
525 E 11TH St
Superior, NE 68978-1101
Phone
(402) 879-4781
Fax
(402) 879-3365
NPI assigned
Dec 26, 2005
Last updated
Feb 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 110719 NE Primary

Addresses

Primary practice location

525 E 11TH St
Superior, NE 68978-1101

Mailing address

PO Box 407
Superior, NE 68978-0407
Phone (402) 879-4781

Other identifiers 1

IdentifierTypeStateIssuer
47038801213MedicaidNE

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
I20050718000452 NE Practitioner - Nurse Practitioner 5698702082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brodstone Memorial HospitalGroup PAC ID 4082513015, 12 clinicians

Practice addresses (Care Compare)

520 E 10TH St
Superior, NE 68978-1225
Phone (402) 879-3281

PO Box
Suite 187
Superior, NE 68978

PO Box
Suite 187
Superior, NE 68978-0187

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as apm
Quality
82.13
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1732NEMDMental Health Counselor
110719NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brodstone Memorial Hospital Current Accepting new patients

Locations

520 E 10th St
Superior, NE 68978
Phone (402) 224-3344

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1477530020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689780407",
            "telephone_number": "402-879-4781",
            "fax_number": "402-879-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 11TH ST",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781101",
            "telephone_number": "402-879-4781",
            "fax_number": "402-879-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAHM",
        "first_name": "TERESA",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-26",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47038801213",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, NE

Sources for this page

Verify at the official NPI Registry.