Individual provider Active NPI

Tamara R Clouse, NP-C

  • Family Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1699081208
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111155 Issued in NE
Practice address
210 McNeel LN
North Platte, NE 69101-6290
Phone
(308) 221-6262
Fax
(308) 221-6261
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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 111155 NE Primary

Addresses

Primary practice location

210 McNeel LN
North Platte, NE 69101-6290

Mailing address

601 W Leota St
North Platte, NE 69101-6525

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
I20130608000047 NE Practitioner - Nurse Practitioner 5991943664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Platte Nebraska Hospital CorporationGroup PAC ID 6507856697, 237 clinicians

Practice addresses (Care Compare)

4000 W Philip Ave
Linden Court
North Platte, NE 69101-0305
Phone (308) 532-5774

601 W Leota St
North Platte, NE 69101-6525

625 W William Ave
North Platte, NE 69101-0026

Hospital & facility affiliations

  • Great Plains Health Hospital, North Platte, NE, CCN 280065
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
North Platte Nebraska Hospital Corporation CurrentSince Oct 30, 2023 Accepting new patients

Locations

611 W Francis St
Ste 200
North Platte, NE 69101
Phone (308) 534-9230

210 McNeel Ln
North Platte, NE 69101
Phone (308) 221-6262

625 W William Ave
Ste 210
North Platte, NE 69101
Phone (308) 568-3500

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

625 W William Ave
#210
North Platte, NE 69101

Interoperability endpoints

  • Direct secure messaging: tclouse144129@direct.nebraskamed.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1699081208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MCNEEL LN",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016290",
            "telephone_number": "308-221-6262",
            "fax_number": "308-221-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "TAMARA",
        "middle_name": "R",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.