JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC
NPI 1366659773
Nurse Anesthetist, Certified Registered in Broken Bow, NE
About Jennie M Melham Memorial Medical Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC (NPI 1366659773) is a healthcare organization registered as a nurse anesthetist, certified registered in Broken Bow, Nebraska and active in the NPI registry since May 2007. The organization lists Kyle D Kellum, Ceo And President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
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)
Jennie M Melham Memorial Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Jennie M Melham Memorial Medical Center Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 31Source: 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 Jennie M Melham Memorial Medical Center Inc's NPI number?
The NPI number for Jennie M Melham Memorial Medical Center Inc is 1366659773. It was assigned to this organization in the NPPES registry on May 16, 2007.
Where is Jennie M Melham Memorial Medical Center Inc located?
Jennie M Melham Memorial Medical Center Inc is located at 145 Memorial Dr, Broken Bow, NE 68822. The listed phone number is (308) 872-4100.
What is Jennie M Melham Memorial Medical Center Inc's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jennie M Melham Memorial Medical Center Inc enrolled in Medicare?
Yes. Jennie M Melham Memorial Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jennie M Melham Memorial Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 8 Medicare specialties reassign their Medicare billing to Jennie M Melham Memorial Medical Center Inc. 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 (18), Nurse Practitioner (4) and Emergency Medicine (3). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jennie M Melham Memorial Medical Center Inc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Jennie M Melham Memorial Medical Center Inc 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 Jennie M Melham Memorial Medical Center Inc was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jennie M Melham Memorial Medical Center Inc · NPI 1366659773
Nurse Anesthetist, Certified Registered organization in Broken Bow, Nebraska. Organization record, active in the CMS NPPES registry since May 16, 2007.
## Identity
- **NPI:** 1366659773 (Entity type: Organization)
- **Enumerated:** May 16, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** Yes (part of Jennie M Melham Memorial Medical Center Inc)
- **Authorized official:** Kyle Kellum, CEO AND PRESIDENT
## Practice location
- **Address:** 145 MEMORIAL DR, Broken Bow, NE 68822-1378
- **Phone:** (308) 872-4100 · **Fax:** (308) 872-4175
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (18), Nurse Practitioner (4), Emergency Medicine (3); 4 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1366659773/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2023
- **Other identifiers:** Other 07073 (NE); Medicaid 10025055300 (NE); Other 81010 (NE); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1366659773) · Data from the CMS NPPES public registry.