April J Dexter, APRN/NP-C

Family Nurse Practitioner · Atkinson, NE

Call (402) 925-2631 Directions

At a glance

405 W Pearl St, Atkinson, NE 68713-4882

NPPES record updated Mar 17, 2018. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Medicare & insurance

Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.

How to check your coverage

Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.

Check the official Medicare directory ↗

Practice location

405 W Pearl St
Atkinson, NE 68713-4882

Additional reported practice locations

406 W Neely St
Atkinson, NE 687134801
Phone: 4029252811
Fax: 4029254810
REPORTED BACKGROUND

Education & affiliations

Medical / professional school
Not reported in this file
Graduation year
2009
CMS specialties
Nurse Practitioner

Practice groups

Reported hospital affiliations

Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.

Source: CMS National Downloadable File · Published Oct 15, 2026.

Source: CMS Facility Affiliation Data · Published Oct 15, 2026.

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PUBLISHED MEDICARE ACTIVITY

Procedures in the public data

Reported activity can help you ask more informed questions about a practice’s services.

No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.

CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology

Source: CMS Utilization Data · Published Oct 15, 2026.

Find providers with a similar service mix

Compare 2024 published Medicare activity in the same reported specialty, here or in another city.

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Reported clinician measures

Measures below describe reported clinician performance in the stated period. They do not form an overall HCPList rating, and reporting differs between clinicians.

Published clinical measures

Advance Care Plan
64%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_047_overall. Collection type: REG. Measure denominator: 45.
Documentation of Current Medications in the Medical Record
99%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_130_overall. Collection type: EHR. Measure denominator: 154.
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
5%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_134_overall. Collection type: EHR. Measure denominator: 167.
See all 9 reported measures
Controlling High Blood Pressure
87%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_236_overall. Collection type: REG. Measure denominator: 30.
Use of High-Risk Medications in Older Adults
15%2024Published MIPS performance rate. Lower rates indicate better performance for this inverse measure. Measure: MIPS_EC_238_overall. Collection type: EHR. Measure denominator: 47.
Cervical Cancer Screening
7%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_309_overall. Collection type: EHR. Measure denominator: 56.
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_317_overall. Collection type: EHR. Measure denominator: 117.
Falls: Screening for Future Fall Risk
2%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_318_overall. Collection type: EHR. Measure denominator: 45.
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
76%2024Published MIPS performance rate. Lower rates indicate better performance for this inverse measure. Measure: MIPS_EC_331_overall. Collection type: REG. Measure denominator: 45.

Source: PY 2024 Clinician Public Reporting: MIPS Measures and Attestations · Published Sep 10, 2026.

PAYMENT TRANSPARENCY

Industry-reported general payments

$13.61General payments · 2025
1Reported transactions
1Reporting companies

Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.

See payment purposes and reporting companies

Reported purposes

PurposeAmount
Food and beverage$13.61

Reporting companies

CompanyAmount
AMGEN INC.$13.61
View official Open Payments profile ↗

Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.

Professional details: NPI, taxonomy & registry record
NPI1780813097
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Registry details

Primary taxonomy
Family Nurse Practitioner
Taxonomy code
363LF0000X
Enumeration date
Jul 8, 2009
Record updated
Mar 17, 2018
More registry details
Provider type
Individual · Type 1
Other reported name
APRIL J HOERLE
Reported credentials
APRN/NP-C

Reported taxonomies and licenses

Family Nurse Practitioner

363LF0000X · Primary

License reported: 111028 NE

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

405 W Pearl St
Atkinson, NE 68713-4882
Phone
(402) 925-2631
Fax
(402) 925-2810
Mailing address
406 W NEELY ST

ATKINSON, NE 687134801
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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