Individual provider Active NPI

Suzanne Kay Gregg, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hastings, NE
National Provider Identifier
1710369103
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
111823 Issued in NE
Practice address
835 S Burlington Ave
Suite 108
Hastings, NE 68901-6960
Phone
(402) 463-7711
Fax
(402) 461-5099
NPI assigned
Jun 23, 2015
Last updated
Jun 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 111823 NE Primary

Addresses

Primary practice location

835 S Burlington Ave
Suite 108
Hastings, NE 68901-6960

Mailing address

406 N Church St
Doniphan, NE 68832-9809
Phone (402) 314-7172

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
I20150803000477 NE Practitioner - Nurse Practitioner 6709190846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

835 S Burlington Ave
108 Lanning Center for Behavioral Servi
Hastings, NE 68901-6928
Phone (402) 463-7711

914 Baumann Dr
Grand Island, NE 68803-4401
Phone (308) 385-5250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Mary Lanning Memorial Hospital Association CurrentSince Aug 1, 2015 Accepting new patients
Mid-Plains Center for Behavioral Healthcare Services, Inc. CurrentSince Feb 4, 2016 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Aug 1, 2015 Accepting new patients

Locations

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

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

835 S Burlington Ave
Ste 108
Hastings, NE 68901
Phone (402) 463-7711

Interoperability endpoints

  • Direct secure messaging: sgregg153975@direct.nebraskamed.com

Organizations & group practices 3

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 5

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1710369103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N CHURCH ST",
            "city": "DONIPHAN",
            "state": "NE",
            "postal_code": "688329809",
            "telephone_number": "402-314-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S BURLINGTON AVE",
            "address_2": "SUITE 108",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689016960",
            "telephone_number": "402-463-7711",
            "fax_number": "402-461-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "SUZANNE",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.