REGIONAL WEST PHYSICIANS CLINIC – Family Medicine Physician, NPI 1306910534
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for REGIONAL WEST PHYSICIANS CLINIC
Western Hearing Clinic, 2, West 42nd Street, Scottsbluff, Scotts Bluff County, Nebraska, 69361, United States
SUITE 2600
SCOTTSBLUFF, NE 693610617
Phone: (308) 630-2877
Fax: (308) 630-2870
Type: Location
3911 AVENUE B STE 1100
SCOTTSBLUFF, NE 693614617
Phone: (308) 630-2100
Type: Location
Scottsbluff Post Office, Avenue B, Scottsbluff, Scotts Bluff County, Nebraska, 69361, United States
SCOTTSBLUFF, NE 693631248
Phone: (308) 630-2930
Fax: (308) 630-2939
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-06-30 (20 days away).
Enrollment records
16
Earliest due date
2026-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20200414002638 | O | Clinic/Group Practice | MT | 2026-06-30 |
| O20210111002809 | O | Clinic/Group Practice | TX | 2026-07-31 |
| O20210111003007 | O | Clinic/Group Practice | AR | 2026-08-31 |
| O20210119002885 | O | Clinic/Group Practice | SD | 2026-10-31 |
| O20210615000830 | O | Clinic/Group Practice | FL | TBD |
| O20210903001242 | O | Clinic/Group Practice | MO | TBD |
| O20210909002122 | O | Clinic/Group Practice | CA | TBD |
| O20210920003567 | O | Clinic/Group Practice | OR | TBD |
| O20220729000385 | O | Clinic/Group Practice | AZ | TBD |
| O20230913000411 | O | Clinic/Group Practice | CT | TBD |
| O20240819003684 | O | Clinic/Group Practice | IL | TBD |
| O20240823002907 | O | Clinic/Group Practice | VA | TBD |
| O20240909000709 | O | Clinic/Group Practice | IN | TBD |
| O20240918004735 | O | Clinic/Group Practice | OK | TBD |
| O20250918000311 | O | Clinic/Group Practice | MN | TBD |
| O20250918002681 | O | Clinic/Group Practice | MD | TBD |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 69361)
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