Active NPI
Jessie M. Kerchal, M.S. CCC-SLP
- Speech-Language Pathologist
- Wauneta, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1590
- Practice address
- 130 N Tecumseh
Wauneta, NE 69045-9726 - Phone
- (308) 394-5333
- Fax
- (308) 365-1927
- NPI assigned
- Sep 18, 2013
- Last updated
- Feb 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1590 | NE | Primary |
Addresses
Primary practice location
130 N Tecumseh
Wauneta, NE 69045-9726
Mailing address
74322 Avenue 350
Wauneta, NE 69045-7116
Phone (308) 350-0705
Other practice location 1
1017 W 7th St
Wray, CO 80758-1420
Phone (970) 332-4811
Other practice location 2
1313 N Cheyenne St
Benkelman, NE 69021-3074
Phone (308) 423-2204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912333246 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
130 N Tecumseh
Wauneta, NE 69045-9726
Phone (308) 394-5333
801 W C St
Suite 3
MC Cook, NE 69001-3592
Phone (308) 394-5333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1590 | NE | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Rehabilitation Services, LLC | Current | Accepting new patients | |
| Wray Community District Hospital | Past | Accepting new patients |
Locations
130 N Tecumseh
Wauneta, NE 69045
Phone (308) 394-5333
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Wauneta, NE
- NPI 1932853355
-
- Medicare Defined Swing Bed Hospital Unit
- Wray, CO
- NPI 1831312925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1912333246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74322 AVENUE 350",
"city": "WAUNETA",
"state": "NE",
"postal_code": "690457116",
"telephone_number": "308-350-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N TECUMSEH",
"city": "WAUNETA",
"state": "NE",
"postal_code": "690459726",
"telephone_number": "308-394-5333",
"fax_number": "308-365-1927"
}
],
"practiceLocations": [
{
"address_1": "1017 W 7th St",
"address_purpose": "LOCATION",
"city": "Wray",
"state": "CO",
"postal_code": "807581420",
"country_code": "US",
"telephone_number": "970-332-4811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1313 N Cheyenne St",
"address_purpose": "LOCATION",
"city": "Benkelman",
"state": "NE",
"postal_code": "690213074",
"country_code": "US",
"telephone_number": "308-423-2204",
"fax_number": "308-423-2287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERCHAL",
"first_name": "JESSIE",
"middle_name": "M.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "1590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912333246",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauneta, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.