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GRAND ISLAND CLINIC INC
NPI 1598766735
Family Medicine in Grand Island, NE

Active since August 10, 2005
2444 W FAIDLEY AVE, GRAND ISLAND, NE 68803(130) 838-2110(308) 385-0796 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 30, 2024, Apr 12, 2024, Nov 10, 2023 and 1 more (4 updates tracked since 2022).

About Grand Island Clinic Inc NPPES

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

GRAND ISLAND CLINIC INC (NPI 1598766735) is a healthcare organization registered as a family medicine in Grand Island, Nebraska and active in the NPI registry since August 2005. The organization maintains 2 additional practice locations and lists Douglas J Herbek, Physician, as its authorized official.

NPPES Registry Identity

NPI1598766735
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAND ISLAND CLINIC INC
Location Address2444 W FAIDLEY AVEGrand Island, NE 68803-4327
Mailing AddressPo Box 550Grand Island, NE 68802-0550 · (308) 382-1100 · Fax (308) 385-0796
Phone(130) 838-2110
Fax(308) 385-0796
Organization SubpartNo
Authorized OfficialDouglas J HerbekPhysician · (308) 382-1100
Enumeration DateAugust 10, 2005
Last NPPES UpdateJuly 30, 20244 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1598766735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
2444 W FAIDLEY AVE, Grand Island, NE 68803
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1723 N Custer AveGrand Island, NE 68803-4311 · Phone (308) 382-1100 · Fax (308) 385-0783
Location 2711 N Custer AveGrand Island, NE 68803-4311 · Phone (308) 382-1100

Other Identifiers 2

Medicaid10028822400NE
OtherCO4245NE · Palmetto Gba

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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)

Grand Island Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Grand Island Clinic Inc, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Diagnostic Radiology9
Obstetrics/Gynecology6
Nurse Practitioner5
Pediatric Medicine5
Family Practice4
Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 30
Alain Alonso Remedios, APRN
Nurse Practitioner
NPI 1720846363
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOS✔ Accepts MedicareSame address
Kelsi Bennett, APRN
Nurse Practitioner
NPI 1891464798
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOSSame address
Douglas Boon, MD
Pediatric Medicine
NPI 1356341309
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOSSame address
Matthew Brennan, MD
Obstetrics/Gynecology
NPI 1104826155
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOS✔ Accepts MedicareSame address
Adam Brosz, M.D.
Family Practice
NPI 1053434019
2444 W FAIDLEY AVE
Grand Island, NE 68803
(130) 838-2110
✔ PECOS✔ Accepts MedicareSame address
Morgan Carson, MD
Pediatric Medicine
NPI 1245804046
2444 W FAIDLEY AVE
Grand Island, NE 68803
(130) 838-2110
✔ PECOSSame address
Paul Cramer, APRN, NP-C
Nurse Practitioner
NPI 1487173621
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOS✔ Accepts MedicareSame address
Libby Crockett, M.D.
Obstetrics/Gynecology
NPI 1912136813
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOS✔ Accepts MedicareSame address
Timothy Gardner, MD
Pediatric Medicine
NPI 1376543322
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOSSame address
Erica Haake, M.D.
Obstetrics/Gynecology
NPI 1033264585
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOS✔ Accepts MedicareSame address
Douglas Herbek, MD
Family Practice
NPI 1861492803
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOSSame address
Molly Johnson, M.D.
Obstetrics/Gynecology
NPI 1750506911
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOS✔ Accepts MedicareSame address
Sarah Johnson, APRN
Nurse Practitioner
NPI 1790207124
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOS✔ Accepts MedicareSame address
Kathryn Kenna, M.D.
Obstetrics/Gynecology
NPI 1093753832
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOS✔ Accepts MedicareSame address
Joseph Law, M.D.
Pediatric Medicine
NPI 1699063313
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOSSame address
Melissa Law, M.D.
Pediatric Medicine
NPI 1013145028
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOSSame address
Lindsey Mettenbrink, D.O.
Family Practice
NPI 1831504224
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOS✔ Accepts MedicareSame address
Kirstin Sholes, M.D.
Obstetrics/Gynecology
NPI 1013322536
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOS✔ Accepts MedicareSame address
Alberto Solache, MD
Family Practice
NPI 1073033718
2444 W FAIDLEY AVE
Grand Island, NE 68803
(308) 382-1100
✔ PECOS✔ Accepts MedicareSame address
Lisa Manchester, APRN
Nurse Practitioner
NPI 1033490297
425 N DIERS AVE
Grand Island, NE 68803
(308) 389-3278
✔ PECOS0.9 mi
See all 30 clinicians

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 Grand Island Clinic Inc's NPI number?

The NPI number for Grand Island Clinic Inc is 1598766735. It was assigned to this organization in the NPPES registry on August 10, 2005.

Where is Grand Island Clinic Inc located?

Grand Island Clinic Inc is located at 2444 W Faidley Ave, Grand Island, NE 68803. The listed phone number is (130) 838-2110.

What is Grand Island Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Grand Island Clinic Inc enrolled in Medicare?

Yes. Grand Island Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grand Island Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 6 Medicare specialties reassign their Medicare billing to Grand Island Clinic 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 Diagnostic Radiology (9), Obstetrics/Gynecology (6) and Nurse Practitioner (5). Of these, 19 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grand Island Clinic 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 Grand Island Clinic 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 Grand Island Clinic Inc was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.