Active NPI
Richard S Jerde, MD
- Diagnostic Radiology Physician
- Kearney, NE
National Provider Identifier
1902884513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 22386
- Practice address
- 10 E 31St St
Kearney, NE 68847-2918 - Phone
- (308) 234-5520
- Fax
- (308) 236-6590
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 22386 | NE | Primary |
Addresses
Primary practice location
10 E 31St St
Kearney, NE 68847-2918
Mailing address
PO Box 2435
Kearney, NE 68848-2435
Phone (308) 234-5520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00050480 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Wisconsin School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 E 31St St
CHI Health Good Samaritan
Kearney, NE 68847-2918
Phone (308) 865-7100
2021 Skyview W Dr
Richard S Jerde MD
Sheridan, WY 82801-6000
Phone (308) 398-6400
Hospital & facility affiliations
- Montgomery County Memorial Hospital
- Gothenburg Health
- Boone County Health Center
- Brodstone Healthcare
- Southwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plains Radiology Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Great Plains Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Grand Island Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Tacoma Magnetic Imaging LP | Past | Accepting new patients | |
| Department of Social | Past | Accepting new patients |
Locations
3610 Richmond Cir
Ste 100
Grand Island, NE 68803
Phone (308) 382-6856
10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520
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.
-
- Diagnostic Radiology Physician
- Grand Island, NE
- NPI 1932136405
WY
-
- Psychiatric Hospital
- Tacoma, WA
- NPI 1144295080
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1376612069
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Albion, NE
- NPI 1679508816
-
- Critical Access Hospital
- Superior, NE
- NPI 1306842604
-
- Critical Access Hospital
- Gothenburg, NE
- NPI 1922051531
-
- Critical Access Hospital
- Red Oak, IA
- NPI 1376539338
-
- General Acute Care Hospital
- Liberal, KS
- NPI 1538109251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1902884513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2435",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688482435",
"telephone_number": "308-234-5520",
"fax_number": "308-236-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E 31ST ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688472918",
"telephone_number": "308-234-5520",
"fax_number": "308-236-6590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERDE",
"first_name": "RICHARD",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "22386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00050480",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.