Individual provider Active NPI

Cindy Marie Keckler, APRN

  • Nurse Practitioner
  • Syracuse, NE
National Provider Identifier
1699141069
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111844 Issued in NE
Practice address
2731 Healthcare Dr
Syracuse, NE 68446-7880
Phone
(402) 269-2611
NPI assigned
Aug 19, 2015
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 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 111844 NE Primary

Addresses

Primary practice location

2731 Healthcare Dr
Syracuse, NE 68446-7880

Mailing address

PO Box N
Syracuse, NE 68446-0518
Phone (402) 269-2611

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckeckler0172@syracuseareahealth.cernerdirect.com Direct Community Memorial Hospital District

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
I20150917002060 NE Practitioner - Nurse Practitioner 7719294131 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111844NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network CurrentSince Oct 1, 2021 Accepting new patients
Seward Urgent Care Partnership LLC Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients

Locations

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

4333 S 86th St
Ste 101
Lincoln, NE 68526
Phone (402) 481-6343

5901 N 27th St
Ste 101
Lincoln, NE 68521
Phone (402) 481-6343

7501 S 27th St
Lincoln, NE 68512
Phone (402) 481-6300

510 Bradford St
Seward, NE 68434
Phone (402) 646-2007

510 Bradford St
Ste A
Seward, NE 68434
Phone (531) 727-2893

2731 Healthcare Dr
Syracuse, NE 68446
Phone (402) 269-2011

202 High St
Tecumseh, NE 68450
Phone (402) 274-4373

Interoperability endpoints

  • Direct secure messaging: ckeckler0172@syracuseareahealth.cernerdirect.com

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

Hospital & facility affiliations 4

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1699141069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX N",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684460518",
            "telephone_number": "402-269-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 HEALTHCARE DR",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684467880",
            "telephone_number": "402-269-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECKLER",
        "first_name": "CINDY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckeckler0172@syracuseareahealth.cernerdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Message",
            "affiliationName": "Community Memorial Hospital District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2731 Healthcare Dr",
            "city": "Syracuse",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684467880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NE

Sources for this page

Verify at the official NPI Registry.