Individual provider Active NPI

Makenna Rommelfanger, D.C.

  • Chiropractor
  • Gretna, NE
National Provider Identifier
1871118489
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2046 Issued in NE
Practice address
16918 Morgan Ave
Gretna, NE 68028-4088
Phone
(402) 206-0018
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2046 NE Primary

Addresses

Primary practice location

16918 Morgan Ave
Gretna, NE 68028-4088

Mailing address

19059 Greenleaf St
Omaha, NE 68136-1208
Phone (402) 253-5036

Other practice location 1

16918 Morgan Ave
Gretna, NE 68028-4088
Phone (402) 206-0018

Other names 1

  • Mrs. Makenna Conway Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL n/a

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015002813 NE Practitioner - Chiropractic 7517387384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honest Chiropractic LLCGroup PAC ID 7810317682, 2 clinicians

Practice addresses (Care Compare)

16918 Morgan Ave
Suite 6
Gretna, NE 68028-4089
Phone (402) 206-0018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1871118489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19059 GREENLEAF ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361208",
            "telephone_number": "402-253-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16918 MORGAN AVE",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680284088",
            "telephone_number": "402-206-0018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16918 Morgan Ave",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "NE",
            "postal_code": "680284088",
            "country_code": "US",
            "telephone_number": "402-206-0018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMMELFANGER",
        "first_name": "MAKENNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "address_1": "16918 Morgan Ave",
            "city": "Gretna",
            "state": "NE",
            "country_code": "US",
            "postal_code": "680284088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAKENNA",
            "last_name": "CONWAY",
            "prefix": "MRS.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.