Kimberly R Perkins, APRN
Individual provider Active NPI Nurse Practitioner · Bridgeport, NE
NPI 1730720533 · NPPES record last updated Apr 6, 2022
Key facts
- NPI
- 1730720533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 112971 (NE)
- Practice address
- 1313 S St
Bridgeport, NE 69336-2563 - Phone
- (308) 262-1616
- NPI assigned
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional West Physicians Clinic
Quick Care Medical Services Inc
Practice addresses (Care Compare)
2 W 42ND St
Scottsbluff, NE 69361-4669
Phone (308) 635-1717
3210 Ave B
Scottsbluff, NE 69361-4303
Phone (308) 630-0800
Hospital & facility affiliations
- Regional West Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191021003477 | NE | Practitioner - Nurse Practitioner | 3971835117 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quick Care Medical Services Inc | Current |
Accepting new patients | |
| Regional West Physicians Clinic | Past | Accepting new patients |
Locations
3210 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-0800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 112971 | NE | Yes |
Addresses
Primary practice location
1313 S St
Bridgeport, NE 69336-2563
Mailing address
1313 S St
Bridgeport, NE 69336-2563
Phone (308) 262-1616
Other providers in Bridgeport, NE
- Chantel Neely
- James David Nein
- Caitlin N Nichols
- Brittany Beth Norman
- Judy Kay Ogard
- Maddison Paige Peterson
- John H. Post
- Poudre Valley Medical Group, LLC
- Jared Reynolds
- Kayla Roberts
All providers in Bridgeport, NE · Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.