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JUSTIN PETERSEN
NPI 1922759356
Case Manager/Care Coordinator in Broken Bow, NE

Active since January 18, 2022
323 N 7TH AVE, BROKEN BOW, NE 68822(308) 872-6821(308) 872-2751 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Petersen NPPES

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

JUSTIN PETERSEN (NPI 1922759356) is an individual case manager/care coordinator provider in Broken Bow, Nebraska and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1922759356
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJUSTIN PETERSEN
Location Address323 N 7TH AVEBroken Bow, NE 68822-1718
Mailing Address323 N 7th AveBroken Bow, NE 68822-1718 · (308) 872-6821 · Fax (308) 872-2751
Phone(308) 872-6821
Fax(308) 872-2751
Sole ProprietorNo
Enumeration DateJanuary 18, 2022
NPPES CertifiedJanuary 18, 2022
✔ NPI 1922759356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
323 N 7TH AVE, Broken Bow, NE 68822
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JULIE ANNE JACOBSON
Nurse's Aide
323 N 7TH AVE
BROKEN BOW, NE 68822
Custer County (308) 872-6821
KATHERINE MYER
Speech-Language Pathologist
323 N 7TH AVE
BROKEN BOW, NE 68822
Custer County (308) 872-5606
KIMBERLY WELLS
Registered Nurse (School)
323 N 7TH AVE
BROKEN BOW, NE 68822
Custer County (308) 872-6821
BROKEN BOW PUBLIC SCHOOLS COUNTY OF CUSTER SCHOOL DISTRICT 25
Clinic/Center
323 N 7TH AVE
BROKEN BOW, NE 68822
Custer County (308) 872-6821
EDDIE SCHAAF
Counselor (School)
323 N 7TH AVE
BROKEN BOW, NE 68822
Custer County (308) 872-6821
SHASTA LEGGETT
Nurse's Aide
323 N 7TH AVE
BROKEN BOW, NE 68822
Custer County (308) 872-6821
PENNY MYERS
Nurse's Aide
323 N 7TH AVE
BROKEN BOW, NE 68822
Custer County (308) 872-6821
SIERRA KENDRA KATHERINE WIEDEMAN
Nurse's Aide
323 N 7TH AVE
BROKEN BOW, NE 68822
Custer County (308) 872-2475

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 Justin Petersen's NPI number?

The NPI number for Justin Petersen is 1922759356. It was assigned to this individual provider in the NPPES registry on January 18, 2022.

Where is Justin Petersen located?

Justin Petersen practices at 323 N 7th Ave, Broken Bow, NE 68822. The listed phone number is (308) 872-6821.

What is Justin Petersen's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Justin Petersen was last updated on January 18, 2022. 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.