Individual provider Active NPI

Jessica L Rathje

  • Nurse Practitioner
  • Hastings, NE
National Provider Identifier
1679191522
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113253 Issued in NE
Practice address
1934 W 2ND St
Hastings, NE 68901-4732
Phone
(402) 463-4257
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 113253 NE Primary

Addresses

Primary practice location

1934 W 2ND St
Hastings, NE 68901-4732

Mailing address

1934 W 2ND St
Hastings, NE 68901-4732
Phone (402) 463-4257

Other practice location 1

750 Allen Dr
Grand Island, NE 68803-3328
Phone (308) 384-2500

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
I20200821002403 NE Practitioner - Nurse Practitioner 9638595580 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Murray Natural Integrated Health, LLC CurrentSince May 4, 2022 Accepting new patients
Murray Natural Health & Chiropractic LLC CurrentSince Mar 13, 2022 Accepting new patients
Mid-Plains Center for Behavioral Healthcare Services, Inc. CurrentSince Jul 31, 2020 Accepting new patients

Locations

914 Baumann Dr
Grand Island, NE 68803
Phone (308) 385-5250

1934 W 2nd St
Hastings, NE 68901
Phone (402) 463-4257

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1679191522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 W 2ND ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014732",
            "telephone_number": "402-463-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 W 2ND ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014732",
            "telephone_number": "402-463-4257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Allen Dr",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688033328",
            "country_code": "US",
            "telephone_number": "308-384-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATHJE",
        "first_name": "JESSICA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.