Individual provider Active NPI

Katherine Rystrom, FNP

  • Family Nurse Practitioner
  • Stromsburg, NE
National Provider Identifier
1629451695
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111847 Issued in NE
Practice address
1356 126TH Rd
Stromsburg, NE 68666-6240
Phone
(402) 764-2491
Fax
(402) 764-4033
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111847 NE Primary

Addresses

Primary practice location

1356 126TH Rd
Stromsburg, NE 68666-6240

Mailing address

1356 126TH Rd
Stromsburg, NE 68666-6240
Phone (402) 764-2491

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
I20160812002015 NE Practitioner - Nurse Practitioner 8224322250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1356 126TH Rd
Stromsburg, NE 68666-6240

Hospital & facility affiliations

  • Annie Jeffrey Memorial County Health Center Hospital, Osceola, NE, CCN 281314
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • York General Health Care Services Hospital, York, NE, CCN 281336

Merit-based Incentive Payment System (MIPS)

Final score
68.5 of 100Reported as group
Quality
55.45
Improvement activities
40
Cost
54.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111847NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic Current Accepting new patients
David Jameson Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: krystrom@pcajfm.gwaydirect.com

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.

Hospital & facility affiliations 3

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1629451695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 126TH RD",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686666240",
            "telephone_number": "402-764-2491",
            "fax_number": "402-764-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 126TH RD",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686666240",
            "telephone_number": "402-764-2491",
            "fax_number": "402-764-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYSTROM",
        "first_name": "KATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stromsburg, NE

Sources for this page

Verify at the official NPI Registry.