NPIMap

Individual provider Active NPI

Nick J Hartl, M.D.

  • Hematology & Oncology Physician
  • Kearney, NE
National Provider Identifier
1962416115
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
23781 Issued in NE
Practice address
2232 Chancellors Ave
Kearney, NE 68845-2053
Phone
(308) 865-2303
Fax
(308) 865-2304
NPI assigned
Jul 27, 2006
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 23781 NE Primary

Addresses

Primary practice location

2232 Chancellors Ave
Kearney, NE 68845-2053

Mailing address

2232 Chancellors Ave
Kearney, NE 68845-2053
Phone (308) 865-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060815000170 NE Practitioner - Hematology/OncologyPractitioner - Medical OncologyPractitioner - Internal Medicine 3577566470 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine, Medical Oncology
Education
University of Iowa, RJ & L Carver College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

987400 Nebraska Medical Ctr
Unmc Physicians Nebraska Medical Center
Omaha, NE 68198-7400
Phone (402) 559-4000

Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jan 1, 2022 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients
Phelps Memorial Health Center CurrentSince Aug 1, 2017 Accepting new patients
Phelps Memorial Health Center CurrentSince Aug 1, 2017 Accepting new patients
Jennie M Melham Memorial Medical Center Inc Past Accepting new patients

Locations

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

2232 Chancellors Ave
Kearney, NE 68845
Phone (308) 865-2303

412 W 42nd St
Kearney, NE 68845
Phone (308) 251-2222

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

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 6

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1962416115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 CHANCELLORS AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452053",
            "telephone_number": "308-865-2303",
            "fax_number": "308-865-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 CHANCELLORS AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452053",
            "telephone_number": "308-865-2303",
            "fax_number": "308-865-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTL",
        "first_name": "NICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "23781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.