Individual provider Active NPI

Maribeth Conrad, APRN-GNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsbluff, NE
National Provider Identifier
1710220652
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
111470 Issued in NE
Practice address
1821 1St Ave
Scottsbluff, NE 69361-2449
Phone
(308) 672-7129
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 111470 NE Primary
Gerontology Nurse Practitioner 363LG0600X 111470 NE

Addresses

Primary practice location

1821 1St Ave
Scottsbluff, NE 69361-2449

Mailing address

297 N Main St
Broadwater, NE 69125-9741
Phone (308) 763-1354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130606000245 NE Practitioner - Nurse Practitioner 2769620517 Reassigns benefits to 2 organizations
I20141216001436 TX Practitioner - Nurse Practitioner 2769620517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1821 1St Ave
Scottsbluff, NE 69361-2449
Phone (308) 672-7129

Hospital & facility affiliations

  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061

Merit-based Incentive Payment System (MIPS)

Final score
80.07 of 100Reported as group
Quality
62.54
Promoting interoperability
98
Improvement activities
40
Cost
72.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Pintado Clinic Current Accepting new patients
Regional West Physicians Clinic CurrentSince Jul 1, 2022 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Thrivewell Health Clinic, LLC Psychiatric/Mental Health CurrentSince Sep 29, 2025 Accepting new patients
Thoreau Clinic CurrentSince Nov 17, 2014 Accepting new patients

Locations

1821 1st Ave
Scottsbluff, NE 69361
Phone (308) 635-2004

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

Organizations & group practices 5

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 1

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1710220652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 N MAIN ST",
            "city": "BROADWATER",
            "state": "NE",
            "postal_code": "691259741",
            "telephone_number": "308-763-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 1ST AVE",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693612449",
            "telephone_number": "308-672-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "MARIBETH",
        "credential": "APRN-GNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111470",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NE",
            "license": "111470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.