David J. Hoelting, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13086 Issued in NE

Practice address

958 Wellness Way Ste 1
Pender, NE 68047-4518

Phone

(402) 385-3033

Fax

(402) 385-3092

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pender Community Hospital District

  • Family Medicine Physician
  • Pender, NE
  • NPI 1992869101
  Medicare reassignment NPD
• Pender Community Hospital District

  • Rural Health Clinic/Center
  • Pender, NE
  • NPI 1972931657

  Family Medicine

  NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1831133040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "680470100",
            "telephone_number": "402-385-4004",
            "fax_number": "402-385-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 WELLNESS WAY STE 1",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "680474518",
            "telephone_number": "402-385-3033",
            "fax_number": "402-385-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOELTING",
        "first_name": "DAVID",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "13086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS IA",
            "identifier": "90761",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "00437",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914838",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42128384911",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42128384921 - BANCRO",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Hanson, PHARMD
• Sarah Ann Hanson
• Haley Haymart, OTD, OTR/L
• River Henry Perry
• Kennedy J Hermelbracht
• Joslynn Jewell
• Karissa Lynn Johnson, D.C.
• Shannan M Johnson, RN
• Kennedy Therapy Services, LLC
• Jenna Kennedy, LADC

• Family Medicine Physician in Pender, NE
• Providers in Pender, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.