WEST HOLT MEDICAL CLINIC
NPI 1366492472
General Practice in Atkinson, NE

Active since May 11, 2006CLIA 28D0455566 · Waiver
405 W PEARL ST, ATKINSON, NE 68713(402) 925-2631(402) 925-2914 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About West Holt Medical Clinic NPPES

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

WEST HOLT MEDICAL CLINIC (NPI 1366492472) is a healthcare organization registered as a general practice in Atkinson, Nebraska and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Jeremy Bauer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366492472
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWEST HOLT MEMORIAL HOSPITAL
Location Address405 W PEARL STAtkinson, NE 68713-4882
Mailing AddressPo Box 458Atkinson, NE 68713-0458 · (402) 925-2631 · Fax (402) 925-2914
Fax(402) 925-2914
Organization SubpartNo
Authorized OfficialJeremy BauerCfo · (402) 925-1947
Enumeration DateMay 11, 2006
Last NPPES UpdateDecember 17, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1366492472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
405 W PEARL ST, Atkinson, NE 68713

Other Names 1

Doing Business AsWest Holt Medical Clinic

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Holt Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to West Holt Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Family Practice6
Nurse Practitioner3
Certified Registered Nurse Anesthetist (CRNA)1
Emergency Medicine1
Otolaryngology1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1780813097
405 W PEARL ST
Atkinson, NE 68713
(402) 925-2631
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1437723202
PO BOX 403
Atkinson, NE 68713
(402) 925-2994
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1104812270
110 W. 2ND ST.
Stuart, NE 68780
(402) 924-3777
✔ PECOS✔ Accepts Medicare9.5 mi
Nurse Practitioner
NPI 1962758151
304 E DOUGLAS ST
Oneill, NE 68763
(402) 336-4222
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1699188714
101 E SOUTH ST
Bassett, NE 68714
(402) 684-2285
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1477445005
1503 MAIN ST
Creighton, NE 68729
(402) 358-5700
✔ PECOS✔ Accepts Medicare55 mi
Family Practice
NPI 1821045824
804 CHASE AVE
Creighton, NE 68729
(402) 358-5335
✔ PECOS✔ Accepts Medicare55 mi
Family Practice
NPI 1679954028
516 W 14TH AVE STE 100
Holdrege, NE 68949
(308) 995-4431
✔ PECOS145 mi
Otolaryngology
NPI 1376503391
2122 N 117TH AVE
Omaha, NE 68164
(402) 370-9515
✔ PECOS✔ Accepts Medicare172 mi
Emergency Medicine
NPI 1225484934
989350 NEBRASKA MED CTR FL 3
Omaha, NE 68198
(402) 559-7200
✔ PECOS✔ Accepts Medicare178 mi
Family Practice
NPI 1457889792
UNMC DIVISION OF GENERAL INTERNAL MEDICINE 986430 NEBRASKA MEDICAL CENTER
Omaha, NE 68198
(402) 559-7502
✔ PECOS✔ Accepts Medicare178 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447609300
300 PERSHING AVE
Shenandoah, IA 51601
(712) 246-7106
✔ Accepts Medicare224 mi

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

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 28D0455566

West Holt Medical Clinic · Atkinson, NE
Active · expires Jul 16, 2027
CLIA Number28D0455566
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorBecky J. Frerichs
Laboratory Phone(402) 925-2811
Laboratory LocationWest Holt Medical Clinic405 West Pearl, Atkinson, NE 68713
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 West Holt Memorial Hospital's NPI number?

The NPI number for West Holt Memorial Hospital is 1366492472. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as West Holt Medical Clinic.

Where is West Holt Memorial Hospital located?

West Holt Memorial Hospital is located at 405 W Pearl St, Atkinson, NE 68713. The listed phone number is (402) 925-2631.

What is West Holt Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is West Holt Memorial Hospital enrolled in Medicare?

Yes. West Holt Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Holt Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 5 Medicare specialties reassign their Medicare billing to West Holt Memorial Hospital. A 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 the clinician's services. The largest specialties are Family Practice (6), Nurse Practitioner (3) and Certified Registered Nurse Anesthetist (CRNA) (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Holt Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0455566) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Holt Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Blue Cross and Blue Shield of Nebraska and 1 other insurer list West Holt Memorial Hospital 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 West Holt Memorial Hospital was last updated on December 17, 2021. 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.