HRSA Counties Indexed
92
with HPSA / MUA coverage
Medically underserved areas & HPSA profile
88 Medically Underserved Areas and 316 active HRSA Health Professional Shortage Area designations across Nebraska.
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.
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.
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.
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).
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
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
Between Jun 2, 2026 and Jul 25, 2026, the number of active stable HPSA IDs recorded for Nebraska changed from 315 to 316 (+1).
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.
HRSA Counties Indexed
92
with HPSA / MUA coverage
Discipline Mix
125 / 91 / 100 PC/MH/D
Primary care · Mental health · Dental
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.
Active Health Professional Shortage Area designations, by provider category.
Primary care
125 designations
Dental
100 designations
Mental health
91 designations
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.
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.
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.
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.
The 40 counties with the most active HPSA designations, of 92 in Nebraska. Columns split primary care, mental health, and dental.
| # | County | Designations | Primary Care | Mental Health | Dental | MUA |
|---|---|---|---|---|---|---|
| 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 |
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 |
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.
Dig deeper into the federal shortage designations behind Nebraska's numbers.
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.
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.
Read our methodology - how this data is sourced, computed, and verified.
Verify with U.S. Census Bureau →
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.