NPIMap

Individual provider Active NPI

Robert J Broekemeier, APRN

  • Family Nurse Practitioner
  • Pierce, NE
National Provider Identifier
1730410069
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111112 Issued in NE
Practice address
503 N 6TH St
Pierce, NE 68767-1019
Phone
(402) 329-6780
Fax
(605) 668-8605
NPI assigned
Jan 27, 2010
Last updated
Jan 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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 111112 NE Primary

Addresses

Primary practice location

503 N 6TH St
Pierce, NE 68767-1019

Mailing address

503 N. 6TH St.
Pierce, NE 68767-1019
Phone (402) 329-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100427000141 NE Practitioner - Nurse Practitioner 1759418577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians

Practice addresses (Care Compare)

503 N 6TH St
Pierce, NE 68767-1019
Phone (402) 329-6780

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health Services CurrentSince Mar 6, 2019 Accepting new patients
Sacred Heart Health Services CurrentSince Mar 6, 2019 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Sacred Heart Rural Health Clinics Past Accepting new patients
Sacred Heart Health Services Past Accepting new patients

Locations

503 N 6th St
Pierce, NE 68767
Phone (402) 329-6780

Interoperability endpoints

  • Direct secure messaging: robert.broekemeier@avera.sdhealthlink.net

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

Hospital & facility affiliations 11

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": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1730410069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N. 6TH ST.",
            "city": "PIERCE",
            "state": "NE",
            "postal_code": "687671019",
            "telephone_number": "402-329-6780",
            "fax_number": "605-668-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N 6TH ST",
            "city": "PIERCE",
            "state": "NE",
            "postal_code": "687671019",
            "telephone_number": "402-329-6780",
            "fax_number": "605-668-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROEKEMEIER",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierce, NE

Sources for this page

Verify at the official NPI Registry.