NPIMap

Individual provider Active NPI

James D. Steckelberg, M.D.

  • Family Medicine Physician
  • Syracuse, NE
National Provider Identifier
1962419713
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22657 Issued in NE
Practice address
2731 Healthcare Dr
Syracuse, NE 68446-7880
Phone
(402) 269-2011
NPI assigned
Aug 2, 2006
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22657 NE Primary

Addresses

Primary practice location

2731 Healthcare Dr
Syracuse, NE 68446-7880

Mailing address

PO Box N
Syracuse, NE 68446-0518
Phone (402) 269-2611

Other identifiers 2

IdentifierTypeStateIssuer
7243OtherNEBCBS OF NEBRASKA
246620OtherNEMIDLANDS CHOICE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsteckelberg0695@syracuseareahealth.cernerdirect.com Direct Community Memorial Hospital District

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
I20041115001036 NE Practitioner - Family Practice 4981668498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Hospital DistrictGroup PAC ID 7517856859, shared by 6 NPIs, 25 clinicians

Practice addresses (Care Compare)

2731 Healthcare Dr
Syracuse, NE 68446-7880
Phone (402) 269-2011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22657NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital District Current Accepting new patients
Community Memorial Hospital District Family Medicine CurrentSince Apr 14, 2005 Accepting new patients
Community Memorial Hospital District Family Medicine CurrentSince Apr 14, 2005 Accepting new patients
Community Memorial Hospital District Family Medicine Past Accepting new patients
Thayer County Memorial Hospital Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
Thayer County Memorial Hospital Past Accepting new patients

Locations

2731 Healthcare Dr
Syracuse, NE 68446
Phone (402) 269-2011

Organizations & group practices 7

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 10

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1962419713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX N",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684460518",
            "telephone_number": "402-269-2611",
            "fax_number": "402-269-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 HEALTHCARE DR",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684467880",
            "telephone_number": "402-269-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKELBERG",
        "first_name": "JAMES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "7243",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "246620",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsteckelberg0695@syracuseareahealth.cernerdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Message",
            "affiliationName": "Community Memorial Hospital District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2731 Healthcare Dr",
            "city": "Syracuse",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684467880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NE

Sources for this page

Verify at the official NPI Registry.