Joseph Debban
Individual provider Active NPI Family Nurse Practitioner · Cozad, NE
NPI 1811534191 · NPPES record last updated Feb 3, 2020
Key facts
- NPI
- 1811534191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 113067 (NE)
- Practice address
- 1803 Papio LN
Cozad, NE 69130-1138 - Phone
- (308) 784-3535
- NPI assigned
- Dec 5, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cozad Community Hospital
Practice addresses (Care Compare)
300 E 12TH St
Cozad, NE 69130-1532
Phone (308) 784-2261
PO Box
Suite 108
Cozad, NE 69130
Hospital & facility affiliations
- Central Plains Home Health
- Cozad Community Hospital
- Gothenburg Health
- CHI Health Good Samaritan
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 |
|---|---|---|---|---|
| I20200311002470 | NE | Practitioner - Nurse Practitioner | 0749618460 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62536 | NE | MD | Flight Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cozad Community Hospital | Family | Current |
Accepting new patients |
| Harlan County Health System | Current |
Accepting new patients | |
| Cozad Community Hospital | Current | Accepting new patients | |
| Harlan County Health System | Current | Accepting new patients | |
| Cozad Community Hospital | Current |
Accepting new patients | |
| J Debban Wellness LLC | Current | Accepting new patients | |
| Cozad Community Hospital | Past | Accepting new patients |
Locations
717 Brown St
Alma, NE 68920
Phone (308) 928-2151
1803 Papio Ln
Cozad, NE 69130
Phone (308) 784-3535
300 E 12th St
Cozad, NE 69130
Phone (308) 784-2261
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Flight Registered Nurse | 163WF0300X | 62536 | NE | |
| Family Nurse Practitioner | 363LF0000X | 113067 | NE | Yes |
Addresses
Primary practice location
1803 Papio LN
Cozad, NE 69130-1138
Mailing address
1803 Papio LN
Cozad, NE 69130-1138
Phone (308) 784-3535
Other providers in Cozad, NE
- Abdirashid Dagane
- Davis Family Dental, LLC
- Timothy L. Davis
- Theresa Day
- Angelica De Anda
- Angela Demilt
- Anita Dewey
- Cassandra Dewey
- Allen Dittmer
- Agany Donato
All providers in Cozad, NE · Family 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 Feb 3, 2020. 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.