Individual provider Active NPI

Monte Ronald Middleton, APRN-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, NE
National Provider Identifier
1669796892
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
111116 Issued in NE
Practice address
3020 18TH St
Columbus, NE 68601-4254
Phone
(402) 562-8714
NPI assigned
Mar 17, 2010
Last updated
Mar 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 111116 NE Primary

Addresses

Primary practice location

3020 18TH St
Columbus, NE 68601-4254

Mailing address

3020 18TH St
Columbus, NE 68601-4254
Phone (402) 562-8714

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
I20110405001163 NE Practitioner - Nurse Practitioner 0547444135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Counseling InternationalGroup PAC ID 1456367168, 12 clinicians

Practice addresses (Care Compare)

333 W Norfolk Ave
Norfolk, NE 68701-5221
Phone 4023792030201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111116NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling International CurrentSince Sep 10, 2013 Accepting new patients

Locations

333 W Norfolk Ave
Ste 201
Norfolk, NE 68701
Phone (402) 379-2030

Organizations & group practices 1

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 4

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": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1669796892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 18TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686014254",
            "telephone_number": "402-562-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 18TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686014254",
            "telephone_number": "402-562-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "MONTE",
        "middle_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "APRN-NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.