Active NPI
Kerri Mae Forcella, PA-C
- Physician Assistant
- Imperial, NE
National Provider Identifier
1891576740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3002
- Practice address
- 600 W 12TH St
Imperial, NE 69033-3130 - Phone
- (308) 882-7299
- Fax
- (308) 882-7298
- NPI assigned
- Oct 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3002 | NE | Primary |
Addresses
Primary practice location
600 W 12TH St
Imperial, NE 69033-3130
Mailing address
PO Box 1246
Imperial, NE 69033-1246
Other names 1
- Kerri Mae Degroff
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231031001701 | NE | Practitioner - Physician Assistant | 6901252790 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chase County Community Hospital
Practice addresses (Care Compare)
600 W 12TH St
Imperial, NE 69033-3131
Phone (308) 882-7111
PO Box
Suite 819
Imperial, NE 69033
Hospital & facility affiliations
- Chase County Community Hospital
- Imperial Manor Nursing Home
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3002 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chase County Community Hospital | Current | Accepting new patients | |
| Chase County Community Hospital | Past | Accepting new patients |
Locations
600 W 12th St
Imperial, NE 69033
Phone (308) 882-7111
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Wauneta, NE
- NPI 1558429472
-
- Rural Health Clinic/Center
- Imperial, NE
- NPI 1124186846
-
- Medicare Defined Swing Bed Hospital Unit
- Imperial, NE
- NPI 1881752509
Hospital & facility affiliations 2
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": "1696550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1891576740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1246",
"city": "IMPERIAL",
"state": "NE",
"postal_code": "690331246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W 12TH ST",
"city": "IMPERIAL",
"state": "NE",
"postal_code": "690333130",
"telephone_number": "308-882-7299",
"fax_number": "308-882-7298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORCELLA",
"first_name": "KERRI",
"middle_name": "MAE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-06",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "3002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRI",
"last_name": "DEGROFF",
"middle_name": "MAE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Imperial, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.