NPIMap

Organization Active NPI

Great Plains Foot and Ankle Specialists PC

  • Podiatrist
  • North Platte, NE
National Provider Identifier
1831283951
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
235 Issued in NE
Legal business name
GREAT PLAINS FOOT AND ANKLE SPECIALISTS PC
Practice address
815 S Maple St
North Platte, NE 69101-5282
Phone
(308) 532-3600
Fax
(308) 532-6288
NPI assigned
Oct 3, 2006
Last updated
Jan 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Deborah C Matson
Title
Insurance Billing Specialist
Phone
(308) 532-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 235 NE Primary

Addresses

Primary practice location

815 S Maple St
North Platte, NE 69101-5282

Mailing address

815 S Maple St
North Platte, NE 69101-5282
Phone (308) 532-3600

Other identifiers 1

IdentifierTypeStateIssuer
CS9720OtherNERAILROAD MEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20090513000487 NE Part B Supplier - Clinic/Group Practice 1052460433 Receives reassigned benefits from 5 practitioners
Practice locations: Valentine, NE; Ainsworth, NE; Sutherland, NE; Sidney, NE; Ord, NE; Ogallala, NE; North Platte, NE; Cambridge, NE…
O20100930011386 NE DME Supplier - Physician - Podiatry 1052460433 Practice locations: North Platte, NE
O20190221000257 KS Part B Supplier - Clinic/Group Practice 1052460433 Receives reassigned benefits from 1 practitioner
Practice locations: Hoxie, KS; Oberlin, KS

National Provider Directory

National Provider Directory

Locations

815 S Maple St
North Platte, NE 69101
Phone (308) 532-3600

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1831283951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S MAPLE ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015282",
            "telephone_number": "308-532-3600",
            "fax_number": "308-532-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S MAPLE ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015282",
            "telephone_number": "308-532-3600",
            "fax_number": "308-532-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS FOOT AND ANKLE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "MATSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "INSURANCE BILLING SPECIALIST",
        "authorized_official_telephone_number": "308-532-3600"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CS9720",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.