Jennie M Melham Memorial Medical Center Inc
NPI 1366659773 · Certified Registered Nurse Anesthetist · Broken Bow, NE
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennie M Melham Memorial Medical Center Inc is a Certified Registered Nurse Anesthetist organization in Broken Bow, NE (NPI 1366659773).
Provider details
- NPI number
- 1366659773
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Jennie M Melham Memorial Medical Center Inc
- Organization subpart
- Yes
- Authorized official
- Kyle Kellum, Ceo and President(308) 872-4100
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2023-07-31
- Certified
- 2023-07-31
Frequently asked questions
- What is Jennie M Melham Memorial Medical Center Inc's NPI number?
- Jennie M Melham Memorial Medical Center Inc's National Provider Identifier (NPI) is 1366659773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jennie M Melham Memorial Medical Center Inc?
- Jennie M Melham Memorial Medical Center Inc is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jennie M Melham Memorial Medical Center Inc located?
- Jennie M Melham Memorial Medical Center Inc's practice location on file with NPPES is 145 Memorial Dr, Broken Bow, NE 68822-1378.
- What is Jennie M Melham Memorial Medical Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Jennie M Melham Memorial Medical Center Inc is (308) 872-4100.
- Does Jennie M Melham Memorial Medical Center Inc accept Medicare?
- Jennie M Melham Memorial Medical Center Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jennie M Melham Memorial Medical Center Inc?
- The authorized official listed on Jennie M Melham Memorial Medical Center Inc's NPPES record is Kyle Kellum, Ceo and President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jennie M Melham Memorial Medical Center Inc's NPI active?
- Yes — Jennie M Melham Memorial Medical Center Inc's NPI (1366659773) is active in the NPPES registry as of the last update on 2023-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.