Individual provider Active NPI

Hugo Gonzalez Nieto, M.D.

  • Psychiatry Physician
  • Kearney, NE
National Provider Identifier
1598876518
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23901 Issued in NE
Practice address
1755 Prairie View Place
Richard H. Young Hospital
Kearney, NE 68848-1750
Phone
(308) 865-2000
Fax
(308) 865-2931
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2000-36 NM
Psychiatry Physician 2084P0800X 23901 NE Primary

Addresses

Primary practice location

1755 Prairie View Place
Richard H. Young Hospital
Kearney, NE 68848-1750

Mailing address

1755 Prairie View Place
P.O. Box 1750
Kearney, NE 68848-1750
Phone (308) 865-2000

Other identifiers 1

IdentifierTypeStateIssuer
E5266MedicaidNM

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070327000705 NE Practitioner - Psychiatry 2860596038 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2000-36NMMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Health CurrentSince Jul 1, 2022 Accepting new patients
Alegent Creighton Health Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
Lincoln Physician Network LLC Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1598876518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 PRAIRIE VIEW PLACE",
            "address_2": "P.O. BOX 1750",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688481750",
            "telephone_number": "308-865-2000",
            "fax_number": "308-865-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 PRAIRIE VIEW PLACE",
            "address_2": "RICHARD H. YOUNG HOSPITAL",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688481750",
            "telephone_number": "308-865-2000",
            "fax_number": "308-865-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ NIETO",
        "first_name": "HUGO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "2000-36",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "23901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E5266",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.