NPIMap

Individual provider Active NPI

Ellen Branham, CRNP

  • Nurse Practitioner
  • McCook, NE
National Provider Identifier
1801551114
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
114790 Issued in NE
Practice address
1301 E H St
MC Cook, NE 69001-3482
Phone
(308) 344-2650
NPI assigned
Nov 2, 2021
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 114790 NE Primary
Family Nurse Practitioner 363LF0000X SP024701 PA

Addresses

Primary practice location

1301 E H St
MC Cook, NE 69001-3482

Mailing address

20 Expedition TRL Ste 101
Gettysburg, PA 17325-8599
Phone (717) 334-4033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220615001412 PA Practitioner - Nurse Practitioner 3971982398 Reassigns benefits to 1 organization
I20230627003187 NE Practitioner - Nurse Practitioner 3971982398 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Hospital AssociationGroup PAC ID 9133101629, shared by 6 NPIs, 26 clinicians

Practice addresses (Care Compare)

1301 E H St
Community Hospital
MC Cook, NE 69001-3482
Phone (308) 344-2650

2601 N Spruce St
Ogallala Community Hospital
Ogallala, NE 69153-2465
Phone (308) 284-4011

510 N Green St
Cherry County Hospital
Valentine, NE 69201-1932
Phone (402) 376-2525

601 W Leota St
North Platte, NE 69101-6525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024701PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Community Hospital Association CurrentSince Jun 23, 2023 Accepting new patients
Carbon County Oncology PLLC CurrentSince Feb 26, 2022 Accepting new patients
Community Hospital Association CurrentSince Jun 23, 2023 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Community Hospital Association Current Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Feb 26, 2022 Accepting new patients

Locations

1301 E H St
McCook, NE 69001
Phone (308) 344-2650

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

1 Medical Center Blvd
Ste 341
Chester, PA 19013
Phone (610) 619-7420

20 Expedition Trl
Ste 101
Gettysburg, PA 17325
Phone (717) 334-4033

6475 Carlisle Pike
Mechanicsburg, PA 17050
Phone (717) 766-7693

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18219/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 6

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1801551114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRL STE 101",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258599",
            "telephone_number": "717-334-4033",
            "fax_number": "717-334-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E H ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013482",
            "telephone_number": "308-344-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "ELLEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "114790",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCook, NE

Sources for this page

Verify at the official NPI Registry.