Justin Wenburg, MD
Individual provider Active NPI Internal Medicine Physician · Hastings, NE
NPI 1669475299 · NPPES record last updated Jan 17, 2012
Key facts
- NPI
- 1669475299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 22744 (NE)
- Practice address
- 2115 N Kansas Ave
Hastings, NE 68901-2644 - Phone
- (402) 463-2454
- Fax
- (402) 463-2450
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Nebraska College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hastings Internal Medicine Associates PC
Practice addresses (Care Compare)
2115 N Kansas Ave
Suite 105
Hastings, NE 68901-2640
Phone (402) 463-2454
Hospital & facility affiliations
- Angels Care Progressive Home Health
- Good Samaritan Society Home Health
- Good Samaritan Society - Hospice
- Mary Lanning Healthcare
- The Nebraska Medical Center
- CHI Health St. Francis
- Good Samaritan Society - Hastings Village
- Tiffany Square
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.52 of 100
- Quality
- 78.35
- Improvement activities
- 40
- Cost
- 77.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 27 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040812001350 | NE | Practitioner - Internal Medicine | 5496728008 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hastings Internal Medicine Associates PC | Current |
Accepting new patients | |
| Hastings Internal Medicine Associates PC | Internal Medicine | Current |
Accepting new patients |
Locations
2115 N Kansas Ave
Hastings, NE 68901
Phone (402) 463-2431
2115 N Kansas Ave
Ste 105A
Hastings, NE 68901
Phone (402) 463-2454
2115 N Kansas Ave
Ste 105
Hastings, NE 68901
Phone (402) 463-2454
Interoperability endpoints
- justin.wenburg@hima.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22744 | NE | Yes |
Addresses
Primary practice location
2115 N Kansas Ave
Hastings, NE 68901-2644
Mailing address
2115 N Kansas Ave
Hastings, NE 68901-2644
Phone (402) 463-2454
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47061219523 | Medicaid | NE |
Other providers in Hastings, NE
- Nicole Welch
- Robert John Welk Jr.
- Jana Kaye Wells
- Rebecca Ann Wells
- Tessa Welty
- Katelyn Werner
- Elaine B Werth
- Weseman Enterprises LLC
- Kelly Weseman
- Brooke West
All providers in Hastings, NE · Internal Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2012. 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.
- Order and Referring (CMS).
- 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.