Individual provider Active NPI

Denise L Poland, APRN

  • Nurse Practitioner
  • Kearney, NE
National Provider Identifier
1871945139
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112031 Issued in NE
Practice address
5212 3Rd Ave
Kearney, NE 68845-2831
Phone
(800) 253-4368
NPI assigned
Jul 11, 2016
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 112031 NE Primary

Addresses

Primary practice location

5212 3Rd Ave
Kearney, NE 68845-2831

Mailing address

5212 3Rd Ave
Kearney, NE 68845-2831
Phone (800) 253-4368

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
I20160801000484 NE Practitioner - Nurse Practitioner 6800189614 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Callaway Hospital DistrictGroup PAC ID 0143208983, shared by 5 NPIs, 6 clinicians

Practice addresses (Care Compare)

211 E Kimball St
Callaway, NE 68825-2597
Phone (308) 836-2228

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Emergency Grand Island Inc CurrentSince Oct 1, 2019 Accepting new patients
Callaway Hospital District CurrentSince Sep 20, 2024 Accepting new patients
Alegent Creighton Clinic CurrentSince Nov 16, 2021 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients
Callaway Hospital District Current Accepting new patients
Phelps Memorial Health Center CurrentSince Dec 1, 2016 Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

211 E Kimball St
Callaway, NE 68825
Phone (308) 836-2228

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

1315 Tibbals St
Holdrege, NE 68949
Phone (308) 995-6111

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

5005 S 153rd St
Ste 100
Omaha, NE 68137
Phone (402) 614-1258

Interoperability endpoints

  • Direct secure messaging: dpoland426922@achce.catholichealth.net

Organizations & group practices 6

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 4

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1871945139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 3RD AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452831",
            "telephone_number": "800-253-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 3RD AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452831",
            "telephone_number": "800-253-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAND",
        "first_name": "DENISE",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.