Individual provider Active NPI

Jina L Nemnich, APRN

  • Acute Care Nurse Practitioner
  • Scottsbluff, NE
National Provider Identifier
1811243801
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
111389 Issued in NE
Practice address
2 W 42ND St
Suite 1100
Scottsbluff, NE 69361-0617
Phone
(308) 635-3155
NPI assigned
Jul 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 111389 NE Primary

Addresses

Primary practice location

2 W 42ND St
Suite 1100
Scottsbluff, NE 69361-0617

Mailing address

610 E 28TH St
Scottsbluff, NE 69361-1415
Phone (308) 641-8534

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
I20120823000829 NE Practitioner - Nurse Practitioner 5496902553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Practice addresses (Care Compare)

3911 Ave B
Scottsbluff, NE 69361-4617

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic CurrentSince Aug 10, 2012 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

2 W 42nd St
Ste 3100
Scottsbluff, NE 69361
Phone (308) 632-2872

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

2 W 42nd St
Ste 1100
Scottsbluff, NE 69361
Phone (308) 635-0600

2 W 42nd St
Ste 2100
Scottsbluff, NE 69361
Phone (308) 630-1947

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1811243801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E 28TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611415",
            "telephone_number": "308-641-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST",
            "address_2": "SUITE 1100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693610617",
            "telephone_number": "308-635-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMNICH",
        "first_name": "JINA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "111389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.