Organization Active NPI

Kimball High Plains Health LLC

  • General Practice Physician
  • Kimball, NE
National Provider Identifier
1689267619
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
KIMBALL HIGH PLAINS HEALTH LLC
Practice address
111 E 2ND St
Kimball, NE 69145-1208
Phone
(970) 846-5438
NPI assigned
Feb 20, 2021
Last updated
Feb 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2021

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

Authorized official

Name
Mrs. Jennifer L. Griebel, APRN-FNPBCNPI 1154853893
Title
Operator/Owner
Phone
(970) 846-5438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

111 E 2ND St
Kimball, NE 69145-1208

Mailing address

2 Crestwood Dr
Kimball, NE 69145-1326
Phone (970) 846-5438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210621001436 NE Part B Supplier - Clinic/Group Practice 2668872102 Receives reassigned benefits from 1 practitioner
Practice locations: Kimball, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2223622Kimball High Plains Health111 E 2ND Street, Kimball, NE 69145Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

111 E 2nd St
Kimball, NE 69145
Phone (308) 235-3601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613779200000",
    "number": "1689267619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CRESTWOOD DR",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "691451326",
            "telephone_number": "970-846-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 2ND ST",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "691451208",
            "telephone_number": "970-846-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBALL HIGH PLAINS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A",
        "authorized_official_last_name": "GRIEBEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OPERATOR/OWNER",
        "authorized_official_telephone_number": "970-846-5438",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-FNPBC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kimball, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.