NPIMap

Individual provider Active NPI

Justin Wenburg, MD

  • Internal Medicine Physician
  • Hastings, NE
National Provider Identifier
1669475299
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22744 Issued in NE
Practice address
2115 N Kansas Ave
Hastings, NE 68901-2644
Phone
(402) 463-2454
Fax
(402) 463-2450
NPI assigned
May 27, 2005
Last updated
Jan 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22744 NE Primary

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 1

IdentifierTypeStateIssuer
47061219523MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812001350 NE Practitioner - Internal Medicine 5496728008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 8628056645, 6 clinicians

Practice addresses (Care Compare)

2115 N Kansas Ave
Suite 105
Hastings, NE 68901-2640
Phone (402) 463-2454

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.52 of 100Reported as group
Quality
78.35
Improvement activities
40
Cost
77.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions27
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hastings Internal Medicine Associates PC CurrentSince Sep 1, 2004 Accepting new patients
Hastings Internal Medicine Associates PC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients

Locations

2115 N Kansas Ave
Hastings, NE 68901
Phone (402) 463-2431

2115 N Kansas Ave
Ste 105
Hastings, NE 68901
Phone (402) 463-2454

2115 N Kansas Ave
Ste 105A
Hastings, NE 68901
Phone (402) 463-2454

Interoperability endpoints

  • Direct secure messaging: justin.wenburg@hima.directbygreenway.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1669475299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012644",
            "telephone_number": "402-463-2454",
            "fax_number": "402-463-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012644",
            "telephone_number": "402-463-2454",
            "fax_number": "402-463-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENBURG",
        "first_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "22744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47061219523",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.