JACOB R. STOTLER
NPI 1285252791
Counselor - Mental Health in Kearney, NE

Active since July 10, 2020PECOS EnrolledAccepts Medicare Assignment
221 W 44TH ST STE 1, KEARNEY, NE 68845(307) 677-1618 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2023, Mar 10, 2021, Sep 11, 2020 and 1 more (4 updates tracked since 2020).

About Jacob R. Stotler NPPES

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

JACOB R. STOTLER (NPI 1285252791) is an individual mental health provider in Kearney, Nebraska, licensed in Nebraska (3296) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cheyenne, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285252791
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB R. STOTLER
Location Address221 W 44TH ST STE 1Kearney, NE 68845-2484
Mailing Address221 W 44th St Ste 1Kearney, NE 68845-2484 · (308) 627-9076
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 10, 2020
Last NPPES UpdateJune 23, 20264 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1285252791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NE · 3296✔ Licensed in WY · 2187
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2187 (WY)
221 W 44TH ST STE 1, Kearney, NE 68845

Secondary Practice Location 1

Location 12526 Seymour AveCheyenne, WY 82001-3159 · Phone (307) 634-9653

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob R. Stotler is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799225330
PECOS Enrollment IDI20240910000718
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacob Stotler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
124 W 25TH ST STE B4
Kearney, NE 68847
  • Reassigned Medicare billing, Nebraska enrollment
Rehabilitation, Substance Use Disorder
501 ALBANY AVE
Torrington, WY 82240
  • Reassigned Medicare billing, Wyoming enrollment
  • 32 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jacob Stotler's NPI number?

The NPI number for Jacob Stotler is 1285252791. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Where is Jacob Stotler located?

Jacob Stotler practices at 221 W 44th St Ste 1, Kearney, NE 68845. The listed phone number is (307) 677-1618.

What is Jacob Stotler's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacob Stotler enrolled in Medicare?

Yes. Jacob Stotler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacob Stotler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Stotler reassigns Medicare benefits to 2 organizations: Wyone Mental Health, LLC (Kearney, NE) and Volunteers Of America Northern Rockies (Torrington, WY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Stotler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Stotler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 1 other insurer list Jacob Stotler 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 Jacob Stotler was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.