PLATTE VALLEY WOMENS HEALTHCARE, PC
NPI 1316206923
Nurse Practitioner - Family in North Platte, NE

Active since May 16, 2012CLIA 28D2041217 · Waiver
810 W REID AVE, SUITE 4, NORTH PLATTE, NE 69101(308) 534-0090(308) 534-0091 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 7, 2024, May 20, 2019 (2 updates tracked since 2019).

About Platte Valley Womens Healthcare, Pc NPPES

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

PLATTE VALLEY WOMENS HEALTHCARE, PC (NPI 1316206923) is a healthcare organization registered as a family in North Platte, Nebraska and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through May 17, 2028, maintains a secondary practice location in Mullen, and lists Kelley A Hasenauer, President/owner, as its authorized official.

NPPES Registry Identity

NPI1316206923
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePLATTE VALLEY WOMENS HEALTHCARE, PC
Location Address810 W REID AVE, SUITE 4North Platte, NE 69101-6583
Mailing Address810 W Reid Ave, Suite 4North Platte, NE 69101-6583 · (308) 534-0090 · Fax (308) 534-0091
Fax(308) 534-0091
Organization SubpartNo
Authorized OfficialKelley A HasenauerPresident/owner · (308) 534-0090
Enumeration DateMay 16, 2012
Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
NPI 1316206923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NE · 110460
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 18908 (NE)
810 W REID AVE, North Platte, NE 69101

Secondary Practice Location 1

Location 1207 NW 4th StMullen, NE 69152-5235 · Phone (308) 546-2213 · Fax (308) 534-0091

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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 of Waiver 28D2041217

Platte Valley Women's Healthcare, PC · North Platte, NE
Active · expires May 17, 2028
CLIA Number28D2041217
Laboratory TypePractitioner Other
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorMs. Kelley A. Hasenauer
Laboratory Phone(308) 534-0090
Laboratory LocationPlatte Valley Women's Healthcare, PC810 West Reid, Suite 4, North Platte, NE 69101
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Pharmacist
810 W REID AVE
NORTH PLATTE, NE 69101
Pharmacist
810 W REID AVE
NORTH PLATTE, NE 69101
Nurse Practitioner (Family)
810 W REID AVE, SUITE 4
NORTH PLATTE, NE 69101
Pharmacist
810 W REID AVE
NORTH PLATTE, NE 69101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316206923, enumerated as an "organization" on May 16, 2012.

The provider is located at 810 W REID AVE SUITE 4 NORTH PLATTE, NE 69101 and the phone number is (308) 534-0090.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.