Active NPI
Sally Eppenbach, APRN, FNP-C
- Family Nurse Practitioner
- Norfolk, NE
National Provider Identifier
1679062681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 112461
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hematology & Oncology Consultants, PC | Current | Accepting new patients | |
| Hematology & Oncology Consultants PC | Current | 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.
-
- Hematology & Oncology Physician
- Omaha, NE
- NPI 1073686812
-
dba Hematology & Oncology Consultants Pharmacy
- Community/Retail Pharmacy
- Omaha, NE
- NPI 1386051746
-
- Hematology & Oncology Physician
- Omaha, NE
- NPI 1366513517
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.