Individual provider Active NPI

Garnelle Elizabeth Florez, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kearney, NE
National Provider Identifier
1912675307
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
113824 Issued in NE
Practice address
3720 A Ave Ste E
Kearney, NE 68847-8169
Phone
(308) 234-5644
NPI assigned
Sep 1, 2021
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 113824 NE Primary

Addresses

Primary practice location

3720 A Ave Ste E
Kearney, NE 68847-8169

Mailing address

3720 A Ave Ste E
Kearney, NE 68847-8169
Phone (308) 224-1053

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
I20220125001726 NE Practitioner - Nurse Practitioner 4385036367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florez Integrated Psychiatric Services LLCGroup PAC ID 3678930229, 2 clinicians

Practice addresses (Care Compare)

204 E 25TH St
Suite 2
Kearney, NE 68847-4569
Phone (308) 270-0368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113824NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florez Integrated Psychiatric Services LLC Psychiatric/Mental Health CurrentSince May 6, 2023 Accepting new patients
Florez Mental Health LLC Psychiatric/Mental Health CurrentSince Jan 12, 2026 Accepting new patients

Locations

204 E 25th St
Ste 2
Kearney, NE 68847
Phone (308) 270-0368

204 E 25th St
Ste 6
Kearney, NE 68847
Phone (308) 270-0368

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1912675307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 A AVE STE E",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478169",
            "telephone_number": "308-224-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 A AVE STE E",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478169",
            "telephone_number": "308-234-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOREZ",
        "first_name": "GARNELLE",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "113824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.