JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC
NPI 1366659773
Nurse Anesthetist, Certified Registered in Broken Bow, NE

NPI Status: Active since May 16, 2007

Contact Information

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822
Phone: (308) 872-4100
Fax: (308) 872-4175

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  • Organization
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance

About JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC

This page provides the complete NPI Profile along with additional information for Jennie M Melham Memorial Medical Center Inc, a provider established in Broken Bow, Nebraska operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1366659773 assigned on May 2007. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Jennie M Melham Memorial Medical Center Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kyle D Kellum (Ceo And President)

NPI
1366659773
Provider Name
JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC
Entity Type
Organization
Location Address
145 MEMORIAL DR BROKEN BOW, NE 68822
Location Phone
(308) 872-4100
Location Fax
(308) 872-4175
Mailing Address
PO BOX 250 BROKEN BOW, NE 68822
Mailing Phone
(308) 872-4100
Mailing Fax
(308) 872-4175
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-16-2007
Last Update Date
07-31-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision - EPO
  • HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KYLE D KELLUM

Authorized Official Title
CEO AND PRESIDENT
Authorized Official Phone
(308) 872-4100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
07073OTHER (01)NEBLUE CROSS CRNA NUMBER
10025055300MEDICAID (05)NE 
81010OTHER (01)NEBLUE CROSS DIABETIC ED NO
DB7316OTHER (01)NERAILROAD MEDICARE NUMBER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366659773, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 1 + 2 + 5 + 1 + 8 + 7 + 1 + 4 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1366659773.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Family Medicine
145 MEMORIAL DR
BROKEN BOW, NE 68822
Family Medicine
145 MEMORIAL DR
BROKEN BOW, NE 68822
Family Medicine
145 MEMORIAL DR
BROKEN BOW, NE 68822
Family Medicine
145 MEMORIAL DR
BROKEN BOW, NE 68822
Pharmacist
145 MEMORIAL DR
BROKEN BOW, NE 68822
Physician Assistant
145 MEMORIAL DR
BROKEN BOW, NE 68822
Nurse Practitioner (Family)
145 MEMORIAL DR
BROKEN BOW, NE 68822
Physician Assistant (Medical)
145 MEMORIAL DR
BROKEN BOW, NE 68822
Nursing Facility/Intermediate Care Facility
145 MEMORIAL DR
BROKEN BOW, NE 68822
Durable Medical Equipment & Medical Supplies
145 MEMORIAL DR
BROKEN BOW, NE 68822
Hospice Care, Community Based
145 MEMORIAL DR
BROKEN BOW, NE 68822
Counselor (Mental Health)
145 MEMORIAL DR
BROKEN BOW, NE 68822
Home Health
145 MEMORIAL DR
BROKEN BOW, NE 68822
General Acute Care Hospital (Critical Access)
145 MEMORIAL DR
BROKEN BOW, NE 68822
General Acute Care Hospital (Critical Access)
145 MEMORIAL DR
BROKEN BOW, NE 68822
Physician Assistant
145 MEMORIAL DR
BROKEN BOW, NE 68822

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366659773, enumerated as an "organization" on May 16, 2007.

The provider is located at 145 MEMORIAL DR BROKEN BOW, NE 68822 and the phone number is (308) 872-4100.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

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