Individual provider Active NPI

Jill Renee Reed, APRN

  • Family Nurse Practitioner
  • Hastings, NE
National Provider Identifier
1770590838
Registry record updated May 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110380 Issued in NE
Practice address
208 S Burlington Ave
Suite 108
Hastings, NE 68901-5904
Phone
(402) 463-6300
Fax
(402) 834-0665
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2013

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 110380 NE Primary

Addresses

Primary practice location

208 S Burlington Ave
Suite 108
Hastings, NE 68901-5904

Mailing address

904 Broadway St
Holderge, NE 68949
Phone (308) 995-3987

Other identifiers 2

IdentifierTypeStateIssuer
37413OtherNEBCBS
47079417000MedicaidNE

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
I20100917000886 NE Practitioner - Nurse Practitioner 2961527635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hastings Convenient Care PCGroup PAC ID 8729119011, 9 clinicians

Practice addresses (Care Compare)

208 S Burlington Ave
Suite 108
Hastings, NE 68901-5943
Phone (402) 463-6300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110380NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hastings Convenient Care PC CurrentSince May 14, 2013 Accepting new patients
Promptcare LLC PastSince Dec 15, 2015 Accepting new patients

Locations

208 S Burlington Ave
Ste 108
Hastings, NE 68901
Phone (402) 463-6300

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369440000000",
    "number": "1770590838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 BROADWAY ST",
            "city": "HOLDERGE",
            "state": "NE",
            "postal_code": "68949",
            "telephone_number": "308-995-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S BURLINGTON AVE",
            "address_2": "SUITE 108",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015904",
            "telephone_number": "402-463-6300",
            "fax_number": "402-834-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JILL",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37413",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47079417000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.