Individual provider Active NPI

Katelyn Williams, FNP-C

  • Family Medicine Physician
  • North Platte, NE
National Provider Identifier
1871350348
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F01241377 Issued in NE
Practice address
302 S Jeffers St
North Platte, NE 69101-5349
Phone
(308) 534-6687
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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 F01241377 NE Primary

Addresses

Primary practice location

302 S Jeffers St
North Platte, NE 69101-5349

Mailing address

36217 County Road 95
Crook, CO 80726-9202
Phone (970) 630-8441

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703000132 NE Practitioner - Nurse Practitioner 7517401433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Health LLCGroup PAC ID 9931109758, 4 clinicians

Practice addresses (Care Compare)

302 S Jeffers St
North Platte, NE 69101-5349
Phone (308) 534-6687

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Gothenburg Health Hospital, Gothenburg, NE, CCN 281313
  • Cherry County Hospital Hospital, Valentine, NE, CCN 281344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01241377NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Health LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

302 S Jeffers St
North Platte, NE 69101
Phone (308) 289-6370

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.

Hospital & facility affiliations 3

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1871350348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36217 COUNTY ROAD 95",
            "city": "CROOK",
            "state": "CO",
            "postal_code": "807269202",
            "telephone_number": "970-630-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S JEFFERS ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015349",
            "telephone_number": "308-534-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATELYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "F01241377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.