St. Mary'S Community Hospital
Organization Active NPI Critical Access Hospital · Nebraska City, NE
NPI 1528016995 · NPPES record last updated Feb 10, 2022
Key facts
- NPI
- 1528016995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- H000128 (NE)
- Legal business name
- ST. MARY'S COMMUNITY HOSPITAL
- Practice address
- 1301 Grundman Blvd
Nebraska City, NE 68410-3323 - Phone
- (402) 873-3321
- Fax
- (402) 873-9033
- NPI assigned
- May 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Evert Kuiper
- Title
- Ceo - CHI Health
- Phone
- (402) 343-4420
Owners & managing parties with NPI records 4
-
Kirtibala Gupta, M.D
-
Suzanne L Hruza, MD
-
Heather M Morgan, M.D.
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 2
Related certifications (CCN) 2
Facilities with the same owner 38
Practitioners 74
-
Stacy D Blum, MD
-
Donald Bruce Duval, CRNA
-
Thomas W Frederickson, M.D.
-
Haylee M Gustafson, MPAS, PA-C
-
Jordan Richard Gustafson, PA-C
-
Briley Jean Hakel, PA-C
-
Cassandra Jean Madden, DNAP
-
Emily M Magel, APRN
-
Cole Marolf, MD
-
Brett J Meyer, M.D.
-
Kylee Rae Meyer, APRN
-
Kristin Leann Miller, APRN
-
Brea Smith Proffitt, PAC
-
Morgan Thiele, PA-C
-
Michael Ryan Zimmerman, D.P.M.
-
Misty Nicole Hill, CRNA
-
Jeffrey Phillip Kiley, D.P.M.
-
Angela Ann Bickford, APRN
Affiliated clinicians 112
-
Michael L Aaronson, M.D.
-
Melissa Alvarez, MD
-
Douglas Bauer, DO
-
Mary J Baxter, APRN
-
Chelsy R Beck, APRN
-
Angela Ann Bickford, APRN
-
Stacy D Blum, MD
-
Spencer Borns, DNP, APRN
-
Morgan L Braden, ARNP
-
Kristina Ann Dada, PA-C
-
Frank Devries, M.D.
-
Steven G Dunder, MD
-
Donald Bruce Duval, CRNA
-
Andrew Ensz, MD
-
Gary R Ensz, MD
-
Tyler Evans, MD
-
Thomas W Frederickson, M.D.
-
Stacy Ann Froehlich, APRN
Medicare Care Compare: Hospital
- Listed as
- CHI Health St Mary'S
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NE
Hospital certification: CCN 281342
- Legal name
- ST MARYS COMMUNITY HOSPITAL
- Doing business as
- CHI HEALTH ST MARYS
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Dec 1, 2000
- Last certification
- Dec 4, 2025
- Beds
- 18
- Ownership / control type
- Church
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 14, 1927 in NE
- Enrollment address
- 1301 Grundman Blvd
Nebraska City, NE 68410-3319
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| CHI Nebraska |
5% Or Greater Direct Ownership Interest | Aug 1, 2013 | 100% |
| Operational/Managerial Control | Jul 1, 2009 | ||
| Marvin O'Quinn |
Other |
Aug 1, 2022 | |
| Nadine a Heimann |
Corporate Director | Jul 1, 2019 | |
| Maurita Soukup |
Corporate Director | Jul 1, 2017 | |
| Commonspirit Health |
5% Or Greater Indirect Ownership Interest | Aug 1, 2013 | 100% |
| Operational/Managerial Control | Feb 2, 2007 | ||
| Daniel J Defreece |
Contracted Managing Employee |
May 13, 2018 | |
| William Barney |
Corporate Director | Jul 1, 2020 | |
| Kevin Fitzgerald |
Corporate Director |
Jul 15, 2021 | |
| Suzanne L Hruza |
Corporate Director | Sep 18, 2014 | |
| Nick O'Tool |
Operational/Managerial Control |
Jan 7, 2023 | |
| Heather M Morgan |
Corporate Director | Jul 1, 2020 | |
| Kirtibala Gupta |
Corporate Director |
Jul 15, 2021 | |
| Evert Kuiper |
Corporate Director |
Jan 17, 2022 | |
| Operational/Managerial Control |
Jan 17, 2022 | ||
| John E Petersdorf |
Corporate Director | Jan 21, 2021 | |
| William Yates |
Corporate Director | Oct 1, 2015 | |
| Mardell Wilson |
Corporate Director | Oct 15, 2020 | |
| Kelly Bacon |
Corporate Director |
Jul 15, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031218000943 | NE | Part B Supplier - Clinic/Group Practice | 7113831926 |
Receives reassigned benefits from 60 practitioners 1 other NPI on this enrollment Practice locations: Nebraska City, NE |
| O20071128000886 | NE | Part a Provider - Critical Access Hospital | 7113831926 |
Receives reassigned benefits from 60 practitioners Practice locations: Nebraska City, NE |
National Provider Directory
Locations
1700 14th Ave
Nebraska City, NE 68410
Phone (402) 873-3345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | H000128 | NE | |
| Critical Access Hospital | 282NC0060X | H000128 | NE | Yes |
Addresses
Primary practice location
1301 Grundman Blvd
Nebraska City, NE 68410-3323
Mailing address
1301 Grundman Blvd
Nebraska City, NE 68410-3323
Phone (402) 873-3321
Other names
- CHI Health St. Mary's
Other providers in Nebraska City, NE
- Corbin Robert Smith
- Nicki Smith
- Tina Marie Smith
- Ralph Spangler Sr.
- St. Mary'S Community Hospital
- St. Mary'S Community Hospital
- Sean P. Stanek
- Kelsie Lea Stovall
- Taneesha Lynn Strackbein
- Wanda Jean Straw
All providers in Nebraska City, NE · Critical Access Hospital in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.