NPIMap

Individual provider Active NPI

Lodewyk R. Papenfus, M.D.

  • Family Medicine Physician
  • Scottsbluff, NE
National Provider Identifier
1841205424
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21968 Issued in NE
Practice address
3911 Avenue B
Suite 1100
Scottsbluff, NE 69361-4617
Phone
(308) 630-2100
Fax
(308) 630-2113
NPI assigned
Jul 30, 2006
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21968 NE Primary

Addresses

Primary practice location

3911 Avenue B
Suite 1100
Scottsbluff, NE 69361-4617

Mailing address

1002 Mockingbird Dr
Scottsbluff, NE 69361-4923
Phone (308) 220-4059

Other identifiers 1

IdentifierTypeStateIssuer
080176395OtherPALMENTO GBA RR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308000825 NE Practitioner - Family Practice 5395799803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
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)

2 W 42ND St
Scottsbluff, NE 69361-4669

3911 Ave B
Scottsbluff, NE 69361-4617

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.07 of 100Reported as group
Quality
62.54
Promoting interoperability
98
Improvement activities
40
Cost
72.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions183
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21968NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic Family Medicine CurrentSince Sep 1, 2008 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

1275 Sage St
Gering, NE 69341
Phone (308) 436-2101

1456 Center Ave
Mitchell, NE 69357
Phone (308) 623-1234

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

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1841205424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 MOCKINGBIRD DR",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614923",
            "telephone_number": "308-220-4059",
            "fax_number": "308-630-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AVENUE B",
            "address_2": "SUITE 1100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614617",
            "telephone_number": "308-630-2100",
            "fax_number": "308-630-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPENFUS",
        "first_name": "LODEWYK",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "21968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMENTO GBA RR MEDICARE",
            "identifier": "080176395",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.