Individual provider Active NPI

Kelly Jean Perry, PLMHP, PCMSW

  • Clinical Social Worker
  • Geneva, NE
National Provider Identifier
1639809239
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1900 F St
Geneva, NE 68361-2229
Phone
(402) 759-3192
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NE Primary

Addresses

Primary practice location

1900 F St
Geneva, NE 68361-2229

Mailing address

23 Arbor HTS
York, NE 68467-1919

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816000435 NE Practitioner - Clinical Social Worker 7214399724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fillmore County Hospital 20 clinicians

Practice addresses (Care Compare)

1900 F St
Geneva, NE 68361-2229
Phone (402) 759-3167

Hospital & facility affiliations

  • Fillmore County Hospital Hospital, Geneva, NE, CCN 281301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fillmore County Hospital CurrentSince Jul 9, 2023 Accepting new patients
Fillmore County Hospital CurrentSince Jul 1, 2015 Accepting new patients

Locations

1900 F St
Geneva, NE 68361
Phone (402) 759-3167

1900 F St
#193
Geneva, NE 68361
Phone (402) 459-3167

Organizations & group practices 3

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 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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1639809239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ARBOR HTS",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 F ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683612229",
            "telephone_number": "402-759-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "credential": "PLMHP, PCMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NE

Sources for this page

Verify at the official NPI Registry.