MR. JOSEPH EDWARD JETER PA-C MPAS NPI 1316956014

NPI Information

  • NPI: 1316956014
  • Provider Name: MR. JOSEPH EDWARD JETER, PA-C, MPAS
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 3911 AVENUE B
    SUITE 1100
    SCOTTSBLUFF, NE
    ZIP 69361
  • Phone: (308) 630-2100

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NPI Details

MR. Joseph Edward Jeter, PA-C, MPAS is a medical physician assistant in Scottsbluff, NE. MR. Joseph Edward Jeter, PA-C, MPAS NPI is 1316956014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3911 AVENUE B
SUITE 1100
SCOTTSBLUFF, NE
ZIP 69361-617
Phone: (308) 630-2100
Fax: (308) 630-2138

The enumeration date for this NPI number is 8/5/2006 and was last updated on 11/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical355NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1266014MEDICARE UPINNEBRASKA
2266014MEDICARE ID-TYPE UNSPECIFIEDNEBRASKAMEDICARE
3970017216OTHERNEBRASKARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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