Individual provider Active NPI

Sally Eppenbach, APRN, FNP-C

  • Family Nurse Practitioner
  • Norfolk, NE
National Provider Identifier
1679062681
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112461 Issued in NE
Practice address
305 N 37TH St
Norfolk, NE 68701
Phone
(402) 370-4100
Fax
(402) 370-4101
NPI assigned
May 4, 2018
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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 112461 NE Primary

Addresses

Primary practice location

305 N 37TH St
Norfolk, NE 68701

Mailing address

84467 560TH Ave
Norfolk, NE 68701-1056
Phone (402) 750-2846

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
I20180531000917 NE Practitioner - Nurse Practitioner 5395000939 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology & Oncology Consultants, PC CurrentSince Aug 27, 2025 Accepting new patients
Hematology & Oncology Consultants PC CurrentSince Aug 27, 2025 Accepting new patients
Hematology & Oncology Consultants, PC Past Accepting new patients

Locations

110 N 29th St
Ste 1
Norfolk, NE 68701
Phone (402) 371-0925

110 N 29th St
Ste 101
Norfolk, NE 68701
Phone (402) 644-7534

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1679062681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84467 560TH AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687011056",
            "telephone_number": "402-750-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 37TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "68701",
            "telephone_number": "402-370-4100",
            "fax_number": "402-370-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPENBACH",
        "first_name": "SALLY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.