Kylie Parshall, PAC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2187 Issued in NE

Practice address

2611 S 70TH St
Lincoln, NE 68506-2960

Phone

(402) 423-4200

Fax

(402) 423-4201

NPI assigned

Jan 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Nebraska College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pine Lake Health, LLCGroup PAC ID 1557372919, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Pine Lake Health LLC

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1417908666
  Medicare reassignment Care Compare group NPD (past)

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

• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  Care Compare affiliation
• Bryan Medical Center

  • Clinical Medical Laboratory
  • Lincoln, NE
  • NPI 1689203077

  Hospital

  Care Compare affiliation
• Bryan Medical Center

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1699384370

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1023407350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062960",
            "telephone_number": "402-423-4200",
            "fax_number": "402-423-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062960",
            "telephone_number": "402-423-4200",
            "fax_number": "402-423-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13220 Callum Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "NE",
            "postal_code": "684622562",
            "country_code": "US",
            "telephone_number": "402-786-5563",
            "fax_number": "402-786-5573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARSHALL",
        "first_name": "KYLIE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "2187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Parra
• Aerica Lynn Parris
• Cari Brannen Parrish, PHARMD, RPH
• Danielle Leigh Parrish, LIMHP, CMFT
• Linda L. Parrish
• Allison Nicole Parson
• Hannah Parson
• Daniel W Parsons
• Drew Partridge, PTA
• Roxanna M Partridge, APRN-NP

• Family Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.