Individual provider Active NPI

Kelly Johnson Krier, MD

  • Colon & Rectal Surgery Physician
  • Lincoln, NE
National Provider Identifier
1013056050
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
26792 Issued in NE
Practice address
1001 S 70TH St Ste 100
Lincoln, NE 68510-7901
Phone
(402) 441-4760
Fax
(402) 441-4764
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7942743-1205 UT
Surgery Physician 208600000X 2005-0329 NM
Surgery Physician 208600000X 26792 NE
Colon & Rectal Surgery Physician 208C00000X 26792 NE Primary

Addresses

Primary practice location

1001 S 70TH St Ste 100
Lincoln, NE 68510-7901

Mailing address

1001 S 70TH St Ste 100
Lincoln, NE 68510-7901
Phone (402) 441-4760

Other practice location 1

575 S 70th St
Suite 310
Lincoln, NE 68510-2471
Phone (402) 441-4760

Other practice location 2

575 S 70th St
Suite 310
Lincoln, NE 68510
Phone (402) 441-4760

Other identifiers 2

IdentifierTypeStateIssuer
10025389300MedicaidNE
P01170228OtherNEPALMETTO GBA

Other names 1

  • Kelly Marie Johnson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kellyjohnsonkrier@sapc.allscriptsdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121105000121 NE Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 5193976942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Sanford School of Medicine of University of South Dakota, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Associates, P.C.Group PAC ID 8921011529, 11 clinicians

Practice addresses (Care Compare)

1001 S 70TH St
Suite 100
Lincoln, NE 68510-7901
Phone (402) 441-4760

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • Nemaha County Hospital Hospital, Auburn, NE, CCN 281324
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
81.74
Promoting interoperability
83
Improvement activities
40
Cost
66.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy57
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26792NEMDSurgery Physician
2005-0329NMMDSurgery Physician
7942743-1205UTMDSurgery Physician

Practice roles (1 of 9)

OrganizationSpecialtyStatusNew patients
Bryan Medical Center Past Accepting new patients

Networks

  • CO HMO
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO C-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • IA HMO
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • CO HMO D-SNP

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/nemaha-659e4e0f
  • Direct secure messaging: kellyjohnsonkrier@sapc.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1013056050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S 70TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685107901",
            "telephone_number": "402-441-4760",
            "fax_number": "402-441-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S 70TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685107901",
            "telephone_number": "402-441-4760",
            "fax_number": "402-441-4764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 S 70th St",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685102471",
            "country_code": "US",
            "telephone_number": "402-441-4760",
            "fax_number": "402-441-4764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 S 70th St",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "68510",
            "country_code": "US",
            "telephone_number": "402-441-4760",
            "fax_number": "402-441-4764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIER",
        "first_name": "KELLY",
        "middle_name": "JOHNSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "7942743-1205",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "2005-0329",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "26792",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NE",
            "license": "26792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025389300",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P01170228",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellyjohnsonkrier@sapc.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1001 S 70th St Ste 100",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685107901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "JOHNSON",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.