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MYRTLE HEALTH LLC
NPI 1134879547
Nurse Practitioner in Imperial, NE

Active since March 28, 2022CLIA 28D2128328 · Microscopy
623 BROADWAY, IMPERIAL, NE 69033(308) 414-6587 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myrtle Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRTLE HEALTH LLC (NPI 1134879547) is a healthcare organization registered as a nurse practitioner in Imperial, Nebraska and active in the NPI registry since March 2022. The organization holds a CLIA Microscopy certificate valid through March 27, 2027 and lists Deaun Carpenter, Owner, as its authorized official.

NPPES Registry Identity

NPI1134879547
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMYRTLE HEALTH LLC
Location Address623 BROADWAYImperial, NE 69033-3136
Mailing AddressPo Box 154Imperial, NE 69033-0154 · (308) 414-6587
Phone(308) 414-6587
Organization SubpartNo
Authorized OfficialDeaun CarpenterOwner · (308) 414-6587
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1134879547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
623 BROADWAY, Imperial, NE 69033
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 28D2128328

Myrtle Health, LLC · Imperial, NE
Active · expires Mar 27, 2027
CLIA Number28D2128328
Laboratory TypePractitioner Other
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorDeaun A. Carpenter
Laboratory Phone(308) 883-0601
Laboratory LocationMyrtle Health, LLC623 Broadway Street, Imperial, NE 69033
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEAUN CARPENTER APRN
Nurse Practitioner (Family)
623 BROADWAY
IMPERIAL, NE 69033
Chase County (308) 883-0601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myrtle Health LLC's NPI number?

The NPI number for Myrtle Health LLC is 1134879547. It was assigned to this organization in the NPPES registry on March 28, 2022.

Where is Myrtle Health LLC located?

Myrtle Health LLC is located at 623 Broadway, Imperial, NE 69033. The listed phone number is (308) 414-6587.

What is Myrtle Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Myrtle Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 28D2128328) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Myrtle Health LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Myrtle Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Myrtle Health LLC was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.