COUNTY OF BURT SCHOOL DISTRICT 1 — NPI 1750014148 (Licensed & Credentialed Registered Nurse, School in TEKAMAH, NE)

CMS-1500 Box 24J / 33a • NPI

1750014148

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

163WS0200X

Licensed & Credentialed Registered Nurse, School

Box 32 Service Location & ZIP+4

112 N 13TH ST, TEKAMAH, NE, 68061-1044

✓ 9-Digit EDI 837 ZIP+4 (68061-1044)

Practice Phone & Referral Fax

(402) 374-2157

Fax: (402) 374-2155

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1750014148 (COUNTY OF BURT SCHOOL DISTRICT 1) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1750014148` (NPI-2 Organization / Facility)
Provider / Legal Name	COUNTY OF BURT SCHOOL DISTRICT 1
Plain-English Specialty	Licensed & Credentialed Registered Nurse, School NUCC Code: `163WS0200X` (Registered Nurse, School)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	112 N 13TH ST, TEKAMAH, NE, 68061-1044
Practice Telephone / Fax	Tel: (402) 374-2157 \| Fax: (402) 374-2155
Administrative Mailing Address	112 N 13TH ST, TEKAMAH, NE, 68061-1044
Enumeration & Last Sync	Enumerated: 2022-07-05 \| CMS Record Updated: 2022-07-05
Authorized Official	JAMIE BRUMMOND (School Nurse)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

112 N 13TH ST, TEKAMAH, NE, 68061-1044

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Plain-English Taxonomy & CMS Crosswalk (163WS0200X)

What Does Taxonomy Code 163WS0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WS0200X translates to:
"Licensed & Credentialed Registered Nurse, School"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, School for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COUNTY OF BURT SCHOOL DISTRICT 1)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WS0200X` — Registered Nurse, School Plain English: Licensed & Credentialed Registered Nurse, School	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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COUNTY OF BURT SCHOOL DISTRICT 1 (NPI #1750014148)