KEYSTONE HEALTH LLC
NPI 1780360297
Family Medicine in Hemingford, NE
About Keystone Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEYSTONE HEALTH LLC (NPI 1780360297) is a healthcare organization registered as a family medicine in Hemingford, Nebraska and active in the NPI registry since June 2023. The organization maintains a secondary practice location in Alliance and lists David Randolph, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keystone Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Keystone Health LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Keystone Health LLC's NPI number?
The NPI number for Keystone Health LLC is 1780360297. It was assigned to this organization in the NPPES registry on June 27, 2023.
Where is Keystone Health LLC located?
Keystone Health LLC is located at 508 Niobrara Ave, Hemingford, NE 69348. The listed phone number is (308) 487-5922.
What is Keystone Health LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Keystone Health LLC enrolled in Medicare?
Yes. Keystone Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Keystone Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Keystone Health LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Keystone Health LLC was last updated on October 17, 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.
# Keystone Health Llc · NPI 1780360297
Family Medicine organization in Hemingford, Nebraska. Organization record, active in the CMS NPPES registry since June 27, 2023.
## Identity
- **NPI:** 1780360297 (Entity type: Organization)
- **Enumerated:** June 27, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** David Randolph, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 508 NIOBRARA AVE, Hemingford, NE 69348-9703
- **Phone:** (308) 487-5922
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780360297) · Data from the CMS NPPES public registry.