NPIMap

Organization Active NPI

Northstar Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wayne, NE
National Provider Identifier
1801555362
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
NORTHSTAR SERVICES
Practice address
1202 E 14TH St
Wayne, NE 68787-1247
Phone
(402) 375-2881
NPI assigned
Dec 13, 2021
Last updated
Feb 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Ms. Tracey M Niemann
Title
Accounting Support Specialist
Phone
(402) 750-7018

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1202 E 14TH St
Wayne, NE 68787-1247

Mailing address

PO Box 280
Wayne, NE 68787-0280
Phone (402) 750-7018

Other practice location 1

3220 Plaza Dr
South Sioux City, NE 68776-3191
Phone (402) 494-2018

Other practice location 2

312 N 7th St
Norfolk, NE 68701-4047
Phone (402) 371-0332

Other practice location 3

120 N Colfax St
West Point, NE 68788-1559
Phone (402) 372-6928

Other practice location 4

306 W Main St
Bloomfield, NE 68718-4034
Phone (402) 373-4358

Other practice location 5

318 E Hwy # 20
O'Neill, NE 68763-2145
Phone (402) 336-4405

Other practice location 6

1033 E 23rd St Ste 7
Fremont, NE 68025-2448
Phone (402) 721-7000

Other practice location 7

2866 48th Ave
Columbus, NE 68601-2159
Phone (402) 564-1465

Other practice location 8

324 S Hall Street
Valentine, NE 69201
Phone (402) 376-2900

Other practice location 9

209 S Main St
Wayne, NE 68787-1946
Phone (402) 375-4884

Other identifiers 1

IdentifierTypeStateIssuer
080419376MedicaidNE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D1038215Northstar Services1202 E 14TH Street, Wayne, NE 68787Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Locations

1033 E 23rd St
Ste 7
Fremont, NE 68025
Phone (402) 287-2281

312 N 7th St
Norfolk, NE 68701
Phone (402) 287-2281

318 E Highway 20
Oneill, NE 68763
Phone (402) 336-4405

3220 Plaza Dr
South Sioux City, NE 68776
Phone (402) 494-2018

209 S Main St
Wayne, NE 68787
Phone (402) 287-2281

120 N Colfax St
West Point, NE 68788
Phone (402) 372-6928

Practitioners & affiliated clinicians

Practitioners 329

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 329

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1801555362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687870280",
            "telephone_number": "402-750-7018",
            "fax_number": "402-375-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E 14TH ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871247",
            "telephone_number": "402-375-2881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "South Sioux City",
            "state": "NE",
            "postal_code": "687763191",
            "country_code": "US",
            "telephone_number": "402-494-2018",
            "fax_number": "402-494-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687014047",
            "country_code": "US",
            "telephone_number": "402-371-0332",
            "fax_number": "402-371-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 N Colfax St",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "NE",
            "postal_code": "687881559",
            "country_code": "US",
            "telephone_number": "402-372-6928",
            "fax_number": "402-372-6982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 W Main St",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "NE",
            "postal_code": "687184034",
            "country_code": "US",
            "telephone_number": "402-373-4358",
            "fax_number": "402-373-2748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "318 E Hwy # 20",
            "address_purpose": "LOCATION",
            "city": "O'Neill",
            "state": "NE",
            "postal_code": "687632145",
            "country_code": "US",
            "telephone_number": "402-336-4405",
            "fax_number": "402-336-2703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1033 E 23rd St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "680252448",
            "country_code": "US",
            "telephone_number": "402-721-7000",
            "fax_number": "402-727-0660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2866 48th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NE",
            "postal_code": "686012159",
            "country_code": "US",
            "telephone_number": "402-564-1465",
            "fax_number": "402-564-2994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 S Hall Street",
            "address_purpose": "LOCATION",
            "city": "Valentine",
            "state": "NE",
            "postal_code": "69201",
            "country_code": "US",
            "telephone_number": "402-376-2900",
            "fax_number": "402-376-2686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 S Main St",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NE",
            "postal_code": "687871946",
            "country_code": "US",
            "telephone_number": "402-375-4884",
            "fax_number": "402-375-5331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHSTAR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "NIEMANN",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ACCOUNTING SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "402-750-7018",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080419376",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.