Medically underserved areas & HPSA profile

Medically Underserved Areas in Nebraska

88 Medically Underserved Areas and 316 active HRSA Health Professional Shortage Area designations across Nebraska.

MUAs
88
Total HPSAs
316
Primary care
125
Mental health
91
Dental
100

Highest-density verdict

Current HRSA Data Warehouse records put Nebraska in the highest-density quarter of states and territories. It carries 316 active shortage designations across 92 counties; Thurston County has the largest county count at 15. About 63.7% of residents live in a geographic shortage county.

316
Active HPSA designations
125
Primary-care shortages
88
Medically underserved areas
63.7%
Residents in a shortage county

Key findings

What the HRSA Data Warehouse does not surface for Nebraska on its own pages , computed from the retained designation mirror as of 2026-08-03. Each line carries its own denominator so it can be quoted as it stands.

  1. Thurston County holds 4.7% of Nebraska's 316 active designations (15 of 316).

    91 of 92 counties in this profile carry at least one active record; the remainder are zero-active on this release.

  2. 39.6% of Nebraska's active designations are primary care.

    Discipline mix from state aggregates: 125 primary care, 91 mental health, 100 dental (denominator 316).

  3. Closing Nebraska's active designations would take about 75 additional clinician FTEs, led by primary care.

    HRSA providers_needed summed once per HPSA id across the state: 34 primary care, 30 mental health, 10 dental. Federal gap estimate, not a practising-clinician headcount.

Corpus placement

Where Nebraska sits among all 56 states and territories

Nebraska carries 316 active HPSA designations for a population of 1,770,900, which is 17.8 per 100,000 residents, ranking it 6 of 56 and above 89% of states and territories, against a median of 7.3.

28 of those are county-wide geographic designations; the remainder are facility-, population- or clinic-based, which is why the county map and the designation count answer different questions.

Designation density tracks rural geography as much as unmet need: AK records 134.7 designations per 100,000 residents and NJ 1.5, because a sparsely-settled state accumulates more separate designations to cover the same population. Designations also overlap, so this counts designations, not people. Counted as distinct HRSA designation IDs, the same unit as the totals above. Computed from the designation records and county populations behind this page; states without county population data are given no placement rather than an estimated one.

Snapshot comparison

Change since the previous HRSA snapshot

Between Jun 2, 2026 and Jul 25, 2026, the number of active stable HPSA IDs recorded for Nebraska changed from 315 to 316 (+1).

IDs added
0
IDs absent now
0
Newly designated
1
No longer designated
0

Among IDs present in both snapshots, scores rose for 0 and fell for 1; recorded providers needed rose for 0 and fell for 1. These are changes in published designation records, not evidence of cause, care quality, or patient outcomes. See the national comparison and limitations.

Medically Underserved Areas
88
Residents in Geographic Shortage Areas
1,128,342
% Residents in Geographic Shortage
63.7%

HRSA Counties Indexed

92

with HPSA / MUA coverage

Discipline Mix

125 / 91 / 100 PC/MH/D

Primary care · Mental health · Dental

% Residents in Geographic Shortage-Designated Counties 63.7%

Nebraska Shortage Designations by Care Type

How Nebraska's 316 active HRSA designations split across the three provider categories. According to KFF's May 2026 tracker, Nebraska has adopted ACA Medicaid expansion. That policy context does not measure provider supply, appointment availability, or care quality.

Nebraska HPSA designations by type

Active Health Professional Shortage Area designations, by provider category.

designations
Source HRSA Data Warehouse, designated HPSAs As of 2026

Nebraska HPSA Counties by Care Type

County lists for the three HRSA shortage disciplines searchers ask for by name (dental, primary care, mental health). Counts are live designated-HPSA records in this release, not provider headcounts.

Dental HPSA counties in Nebraska

55 counties with at least one active dental designation ; led by Thurston (5). Full list (designation count in parentheses): Thurston (5) , Colfax (4) , Douglas (4) , Holt (4) , Nance (4) , Thayer (4) , Dawson (3) , Gage (3) , Lancaster (3) , Madison (3) , Morrill (3) , Sheridan (3) , Cherry (2) , Cheyenne (2) , Cuming (2) , Custer (2) , Furnas (2) , Greeley (2) , Hall (2) , Nuckolls (2) ; plus 35 more in the table below.

Primary-care HPSA counties in Nebraska

81 counties with at least one active primary-care designation ; led by Colfax (5). Full list: Colfax (5) , Thayer (5) , Thurston (5) , Douglas (4) , Holt (4) , Nance (4) , Dawson (3) , Furnas (3) , Gage (3) , Greeley (3) , Lancaster (3) , Madison (3) , Morrill (3) , Richardson (3) , Sheridan (3) , Brown (2) , Cass (2) , Cherry (2) , Cheyenne (2) , Cuming (2) ; plus 61 more in the table below.

Mental-health HPSA counties in Nebraska

91 counties with at least one active mental-health designation ; led by Colfax (5). Full list: Colfax (5) , Lancaster (5) , Thayer (5) , Thurston (5) , Douglas (4) , Gage (4) , Holt (4) , Madison (4) , Nance (4) , Cuming (3) , Custer (3) , Dawson (3) , Furnas (3) , Greeley (3) , Johnson (3) , Morrill (3) , Nuckolls (3) , Otoe (3) , Phelps (3) , Richardson (3) ; plus 71 more in the table below.

All counties in Nebraska, by total shortage volume

The 40 counties with the most active HPSA designations, of 92 in Nebraska. Columns split primary care, mental health, and dental.

# County DesignationsPrimary CareMental HealthDentalMUA
1 Thurston 15 5 5 5 MUA
2 Colfax 14 5 5 4 MUA
3 Thayer 14 5 5 4 MUA
4 Douglas 12 4 4 4 MUA
5 Holt 12 4 4 4 MUA
6 Nance 12 4 4 4 MUA
7 Lancaster 11 3 5 3 MUA
8 Gage 10 3 4 3 -
9 Madison 10 3 4 3 MUA
10 Dawson 9 3 3 3 -
11 Morrill 9 3 3 3 -
12 Sheridan 9 3 3 3 MUA
13 Furnas 8 3 3 2 MUA
14 Greeley 8 3 3 2 MUA
15 Richardson 8 3 3 2 MUA
16 Cuming 7 2 3 2 MUA
17 Custer 7 2 3 2 MUA
18 Nuckolls 7 2 3 2 MUA
19 Otoe 7 2 3 2 -
20 Phelps 7 2 3 2 -
21 Cherry 6 2 2 2 -
22 Cheyenne 6 2 2 2 -
23 Hall 6 2 2 2 MUA
24 Pawnee 6 2 2 2 MUA
25 Scotts Bluff 6 2 2 2 MUA
26 Webster 6 2 2 2 -
27 Brown 5 2 2 1 MUA
28 Dawes 5 2 2 1 -
29 Dundy 5 2 2 1 MUA
30 Garfield 5 2 2 1 MUA
31 Gosper 5 2 2 1 MUA
32 Hitchcock 5 2 2 1 MUA
33 Johnson 5 1 3 1 MUA
34 Keith 5 2 2 1 MUA
35 Knox 5 2 2 1 MUA
36 Pierce 5 2 2 1 -
37 Red Willow 5 2 2 1 -
38 Rock 5 2 2 1 MUA
39 Sherman 5 2 2 1 MUA
40 Valley 5 2 2 1 MUA

Medically Underserved Areas in Nebraska

Showing 30 of 88 MUA designations (lowest MUA Index first, i.e. most underserved).

Name MUA Index
North Loup Service Area 0.0
Sargent Service Area 0.0
Kilfoil Service Area 0.0
Delight Service Area 0.0
Arnold Service Area 0.0
Hispanic Population 0.0
Medicaid Eligible Population 0.0
Loup Service Area 32.7
Hitchcock Service Area 36.6
Sherman Service Area 41.3
Rock Service Area 42.4
Clay Service Area 44.8
Douglas Service Area 44.9
Cedar Service Area 46.4
David City Service Area 47.2
Ravenna City - County 47.3
Pleasant Prec - County 47.7
MUA-Sheridan County SA 48.0
Chester Service Area 49.5
Adams Prec Service Area 49.9
Richardson Service Area 50.4
Blaine Service Area 50.6
Keya Paha Service Area 50.7
Brown Service Area 50.9
Sioux Service Area 51.0
Garfield Service Area 51.0
Boyd Service Area 51.0
Franklin City - County 51.4
Liberty Prec - County 51.9
Nuckolls Service Area 52.0

High-density reading for Nebraska

At 316 active designations (125 primary care / 91 mental health / 100 dental), Nebraska sits in the top quarter of the state and territory corpus by designations per resident. That volume is where NHSC placements, FQHC operating geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the state boundary alone.

Thurston County leads the in-state table with 15 active records; open that county profile before treating the state total as evenly spread. About 63.7% of residents live in a geographic shortage county; facility and population-group designations cover additional residents counted separately.

Frequently Asked Questions

How many Medically Underserved Areas are in Nebraska?
Nebraska has 88 Medically Underserved Areas (MUAs). About 1,128,342 residents (63.7% of the state) live in a county with a geographic HRSA shortage designation. MUA-designated areas qualify for enhanced federal funding and Community Health Center grants.
Which counties in Nebraska have dental HPSA designations?
55 Nebraska counties carry at least one active dental Health Professional Shortage Area in the current HRSA release: Thurston (5), Colfax (4), Douglas (4), Holt (4), Nance (4), Thayer (4), Dawson (3), Gage (3), Lancaster (3), Madison (3), Morrill (3), Sheridan (3), Cherry (2), Cheyenne (2), Cuming (2), Custer (2), Furnas (2), Greeley (2), Hall (2), Nuckolls (2); plus 35 more on the table below. Counts are designated dental HPSA records per county, not a dentist headcount.
Are there doctor shortages in Nebraska?
Yes. Nebraska has 316 Health Professional Shortage Areas (HPSAs), including 125 in primary care, 91 in mental health, and 100 in dental care. About 63.7% of Nebraska residents live in a county that HRSA has designated as a geographic (whole-community) shortage area; additional residents are covered by population-group and facility designations counted separately.
What are HPSAs?
Health Professional Shortage Areas (HPSAs) are federal designations by the Health Resources and Services Administration (HRSA) identifying communities with insufficient healthcare providers. HPSAs are categorized into three types: primary care, mental health, and dental. In Nebraska, there are 316 designated HPSAs and 88 Medically Underserved Areas (MUAs).
What federal programs address healthcare shortages in Nebraska?
HRSA shortage designations in Nebraska unlock eligibility for over 30 federal programs, including National Health Service Corps (NHSC) loan repayment and scholarships, Community Health Center (FQHC) funding, Medicare bonus payments (10% for physicians in HPSAs), J-1 visa waiver programs for international medical graduates, and Rural Health Clinic certification. These programs direct billions of dollars annually toward underserved communities.
How does Nebraska compare to other states in HRSA shortage designations?
Nebraska has 316 total HPSA designations and 88 Medically Underserved Areas. With 63.7% of residents in counties carrying a geographic shortage designation, you can compare the recorded HRSA designations and scores with other states on our national rankings pages for primary care, mental health, and dental care.
How often is Nebraska HPSA data updated?
HRSA publishes HPSA designation changes through the Data Warehouse on a rolling basis. This page reports the portal's stated HRSA source vintage after a verified refresh; use HRSA's official tools when a current designation status matters.

Source: HRSA Data Warehouse Not affiliated with HRSA

Choose the next comparison

Use Nebraska's designation totals as a starting point, then move to the comparison that answers the next decision without treating a shortage designation as a personal care outcome.

  • Compare Nebraska's primary-care shortage record with every other state before drawing conclusions from a raw total; population and geography affect designation counts. Compare states
  • Thurston County has the most active HPSA designations in this state profile. Open its county record to inspect the local primary-care, mental-health, and dental breakdown. Open county profile
  • Use the national statistics reference for the source vintage, aggregate context, and methodology behind these state-level figures. Read national context

HRSA designations describe structural provider-shortage criteria and federal-program eligibility. They do not measure appointment availability, insurance coverage, care quality, or an individual patient’s access to care.

Verify with U.S. Census Bureau →

Verify with CMS →

Every figure on PlainHealthAccess is rendered directly from HRSA source data, no number is typed in by an editor. This page aggregates every county-level HPSA and MUA designation on record for Nebraska (NE) and ranks the state's per-capita designation density among all states and territories. Designations describe federal shortage criteria, not appointment availability or care quality for any person. See our editorial standards & corrections policy, the methodology behind these numbers, review the public data changelog, or report a data issue for this page. Data current as of 2026.