Active NPI
Jessica Shepler
- Critical Access Hospital
- Superior, NE
National Provider Identifier
1982013264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 901076
- Practice address
- 520 E 10TH St
Superior, NE 68978-1225 - Phone
- (402) 768-4633
- NPI assigned
- Aug 12, 2014
- Last updated
- Aug 19, 2021
- 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 |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 901076 | NE | Primary |
Addresses
Primary practice location
520 E 10TH St
Superior, NE 68978-1225
Mailing address
120 Park Ave
Hebron, NE 68370-2019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901076 | NE | MD | Critical Access Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1982013264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PARK AVE",
"city": "HEBRON",
"state": "NE",
"postal_code": "683702019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E 10TH ST",
"city": "SUPERIOR",
"state": "NE",
"postal_code": "689781225",
"telephone_number": "402-768-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPLER",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NE",
"license": "901076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Superior, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.