Individual provider Active NPI

Gwendolyn Journey, APRN

  • Family Nurse Practitioner
  • Hastings, NE
National Provider Identifier
1962411330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110741 Issued in NE
Practice address
223 E 14TH St
Suite 100
Hastings, NE 68901-3200
Phone
(402) 463-2929
Fax
(402) 463-2939
NPI assigned
Aug 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110741 NE Primary

Addresses

Primary practice location

223 E 14TH St
Suite 100
Hastings, NE 68901-3200

Mailing address

PO Box 1423
223 E 14TH Suite 100
Hastings, NE 68902-1423
Phone (402) 463-2929

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
I20051216000632 NE Practitioner - Nurse Practitioner 5092736090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Mary Lanning Memorial Hospital AssociationGroup PAC ID 4587575550, shared by 6 NPIs, 129 clinicians

Practice addresses (Care Compare)

715 N Kansas Ave
Hastings, NE 68901-4438

715 N Saint Joseph Ave
Mary Lanning Healthcare
Hastings, NE 68901-4451
Phone (402) 463-4521

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Mary Lanning Memorial Hospital Association CurrentSince Feb 1, 2011 Accepting new patients
The Mary Lanning Memorial Hospital Association Family CurrentSince Dec 16, 2019 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Feb 1, 2011 Accepting new patients
Moscati Health Center PC Past Accepting new patients
The Mary Lanning Memorial Hospital Association Past Accepting new patients

Locations

223 E 14th St
Ste 100
Hastings, NE 68901
Phone (308) 382-4297

715 N Kansas Ave
Ste 208
Hastings, NE 68901
Phone (402) 463-2929

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

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, 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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962411330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1423",
            "address_2": "223 E 14TH SUITE 100",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689021423",
            "telephone_number": "402-463-2929",
            "fax_number": "402-463-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E 14TH ST",
            "address_2": "SUITE 100",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013200",
            "telephone_number": "402-463-2929",
            "fax_number": "402-463-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOURNEY",
        "first_name": "GWENDOLYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.