Individual provider Active NPI

Quinn M. Kneifl, PA-C

  • Medical Physician Assistant
  • Pender, NE
National Provider Identifier
1023063401
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1178 Issued in NE
Practice address
958 Wellness Way Ste 1
Pender, NE 68047-4518
Phone
(402) 385-3033
Fax
(402) 385-3092
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1178 NE Primary

Addresses

Primary practice location

958 Wellness Way Ste 1
Pender, NE 68047-4518

Mailing address

PO Box 100
Pender, NE 68047-0100
Phone (402) 385-4004

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616001122 NE Practitioner - Physician Assistant 5890739155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pender Community Hospital DistrictGroup PAC ID 3971412842, shared by 7 NPIs, 15 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Pender, NE 68047-4507
Phone (402) 385-3083

Hospital & facility affiliations

  • Pender Community Hospital Hospital, Pender, NE, CCN 281349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1178NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pender Community Hospital District CurrentSince Jul 13, 2008 Accepting new patients
Pender Community Hospital District CurrentSince Dec 28, 2025 Accepting new patients
Pender Community Hospital District CurrentSince Jul 13, 2008 Accepting new patients
Pender Community Hospital District Past Accepting new patients

Locations

1003 S Main St
Ste 1
Emerson, NE 68733
Phone (402) 695-2453

100 Valley View Dr
Pender, NE 68047
Phone (402) 385-3033

958 Wellness Way
Ste 1
Pender, NE 68047
Phone (402) 385-3033

100 Hospital Dr
Pender, NE 68047
Phone (402) 385-3083

Organizations & group practices 4

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 1

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1023063401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "680470100",
            "telephone_number": "402-385-4004",
            "fax_number": "402-385-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 WELLNESS WAY STE 1",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "680474518",
            "telephone_number": "402-385-3033",
            "fax_number": "402-385-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEIFL",
        "first_name": "QUINN",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pender, NE

Sources for this page

Verify at the official NPI Registry.