Individual provider Active NPI

Mary E Dailey, APRN

  • Family Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1720012776
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28574 Issued in NE
Practice address
210 McNeel LN
North Platte, NE 69101-6290
Phone
(308) 221-6262
Fax
(308) 221-6261
NPI assigned
Jul 10, 2006
Last updated
Jun 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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 28574 NE Primary

Addresses

Primary practice location

210 McNeel LN
North Platte, NE 69101-6290

Mailing address

210 McNeel LN
North Platte, NE 69101-6290
Phone (308) 221-6262

Other identifiers 1

IdentifierTypeStateIssuer
110201OtherNESTATE LICENSE

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
I20100128000930 NE Practitioner - Nurse Practitioner 3870635840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gosnell Family Medicine PCGroup PAC ID 6709015134, 3 clinicians

Practice addresses (Care Compare)

210 McNeel LN
North Platte, NE 69101-6290
Phone (308) 221-6262

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28574NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gosnell Family Medicine, PC CurrentSince Jun 1, 2016 Accepting new patients

Locations

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

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7862/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mary.dailey.1@7862.direct.athenahealth.com

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1720012776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "DAILEY",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "28574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "110201",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.