Medically Underserved Area Primary · mental · dental footprint

NE · Healthcare shortage profile

Douglas County, NE

Peak severity leads this reading: Douglas County's highest active HPSA score is 25.0, clearing HRSA's 17-point high-priority line. Population 584,526.

Active HPSAs
12
Population
584,526
Peak shortage score
25.0
MUA Index
44.9

Heavy-burden verdict

According to current HRSA Data Warehouse records, Douglas County ranks among the most underserved counties in the country - 12 active HPSA designations, more than 85% of the 3,289 real US counties, with primary care the deepest gap.

12
Active HPSA designations
4
Dental shortages
25
Peak severity score (of 26)
Top 15%
US counties by volume

Dense ZCTA lattice over Douglas County

Douglas County intersects 37 Census ZCTAs, above the 15-ZIP dense-tercile cut. Shortage designations still attach at the county (or smaller HPSA) grain; the ZIP list is geography, not a second severity score.

Largest land-share ZCTAs in this county

25 additional ZCTAs intersect this county in the crosswalk (ordered by land share).

Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.

Key findings

What the HRSA Data Warehouse does not surface for Douglas County, NE on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.

  1. Peak HPSA score 25.0 clears HRSA's 17-point high-priority line.

    Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.

  2. 33.3% of Douglas County's 12 active designations are primary care.

    Discipline mix from designated HPSA records only: 4 primary care, 4 mental health, 4 dental (denominator 12).

Corpus placement

Active-designation volume placement

According to current HRSA Data Warehouse records, Douglas County carries 12 active designations, above 85% of real US counties. Use the state peer line below before treating the national percentile as a local access verdict.

State peer position. Douglas County falls in the upper quarter of NE counties by active-designation volume, at rank 4 of 92. Ties share a rank.

Computed from current designated HPSA rows for every five-digit county FIPS. See the placement methodology.

Healthcare shortage designations from HRSA. FIPS: 31055. Population: 584,526.

4
Dental HPSAs
4
Primary Care HPSAs
4
Mental Health HPSAs

Medically Underserved Area

MUA Designated
MUA Index: 44.9

Peak severity scores

Primary Care 18.0
Mental Health 19.0
Dental 25.0

Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?

Highest-severity HPSA designations

All 12 active (designated) HPSAs in Douglas County, ranked by HRSA shortage score.

Name Type Score
Charles Drew Health Center Inc dental 25.0
Oneworld Community Health Centers Inc dental 25.0
Fred Leroy Health And Wellness Center dental 20.0
Oneworld Community Health Centers Inc mental_health 19.0
Charles Drew Health Center Inc mental_health 19.0
Fred Leroy Health And Wellness Center primary_care 18.0
Fred Leroy Health And Wellness Center mental_health 18.0
Oneworld Community Health Centers Inc primary_care 17.0
Nebraska Urban Indian Health Coalition, Inc. primary_care 17.0
Nebraska Urban Indian Health Coalition, Inc. dental 17.0
Nebraska Urban Indian Health Coalition, Inc. mental_health 15.0
Charles Drew Health Center Inc primary_care 13.0

Heavy-burden reading for Douglas County

Peak severity leads this reading: Douglas County's highest active HPSA score is 25.0, clearing HRSA's 17-point high-priority line. Dental care carries Douglas County's deepest shortage reading, 25.0 on HRSA's 0–26 dental scale, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 18.0 of 25; Mental health reads 19.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 44.9, and the lower the index, the greater the measured need.

Volume places Douglas County above 85% of real US counties (12 active designations: 4 primary care, 4 mental health, 4 dental). Peak severity on the current designated set is 25.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.

Douglas County falls in the upper quarter of NE counties by active-designation volume, at rank 4 of 92. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.

Douglas County designations by care type

Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).

designations
Source HRSA Data Warehouse, designated HPSAs As of 2026

Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Douglas County, NE · 2026 HRSA designation data updated quarterly; HPSA scores 0-25 (primary/mental) and 0-26 (dental); higher = greater shortage severity. Coverage tiers from U.S. Census ACS PUMS + KFF state tracker.

Acting on a heavy-burden county

Douglas County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.

  • Douglas County's 12 active designations make providers here eligible for National Health Service Corps loan repayment, estimate the award and service terms. NHSC estimator
  • See how the county's primary care burden compares with the rest of NE before you draw conclusions from a single score. NE overview
  • Check whether an area clears HRSA's 3,500:1 population-to-provider threshold with the provider-to-population ratio behind an HPSA score. HPSA score lookup

HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.

Counties With a Similar Dental Shortage Score

Other U.S. counties whose active HRSA dental HPSA score is closest to Douglas County's 25.0. This compares the designation score only, not local appointment availability or care quality. Start with Cook County, IL and Riverside County, CA.

Showing 6 of 2744 counties nationally with an active designation this severe.

Counties near Douglas County's dental score of 25.0

One peer set for this severity-led county: nearest active dental HPSA score to 25.0 (severity lead on this page is “CHARLES DREW HEALTH CENTER INC”).

Frequently Asked Questions

Does Douglas County's MUA standing sit beside its HPSA records?
Yes - Douglas County carries an MUA designation (index 44.9; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
Which record sets Douglas County's peak score of 25.0?
"CHARLES DREW HEALTH CENTER INC" leads the active set (score 25.0; dental; 74,892 people in the service area; designated 10/26/2002). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 12 active rows: 4 primary care, 4 mental health, 4 dental.
Which other active designations sit under Douglas County's severity reading?
After "CHARLES DREW HEALTH CENTER INC", the next active names on this release are "CHARLES DREW HEALTH CENTER INC", "ONEWORLD COMMUNITY HEALTH CENTERS INC", "FRED LEROY HEALTH AND WELLNESS CENTER" and "ONEWORLD COMMUNITY HEALTH CENTERS INC". Provider need (id-de-duped) totals ~0 FTE across disciplines that still carry a gap.
Which federal pathways follow Douglas County's high-severity geography?
Douglas County's 12 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, eligibility follows the designated area and provider type, not merely the county line around "CHARLES DREW HEALTH CENTER INC".
How does Douglas County's peak severity sit inside NE?
Douglas County holds 12 active HPSA rows with peak 25.0. Douglas County falls in the upper quarter of NE counties by active-designation volume, at rank 4 of 92. Score-nearest national peers appear below when the peer module renders. Score-nearest counties on this release include Cook County, IL and Riverside County, CA.

Source: HRSA Data Warehouse. FIPS: 31055. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.

HRSA Data Warehouse HPSA + MUA/P records for FIPS 31055 (Douglas County, NE), vintage 2026-08-15. Active designation count 12; peak score 25.0; signature peak score 25.0. This profile is reference material, not professional advice; see methodology.