Individual provider Active NPI

Kayla Hallock, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1023623451
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113059 Issued in NE
Practice address
3740 N 27TH St Ste 1
Lincoln, NE 68521-4162
Phone
(402) 423-0396
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113059 NE Primary

Addresses

Primary practice location

3740 N 27TH St Ste 1
Lincoln, NE 68521-4162

Mailing address

1900 S 45TH St
Lincoln, NE 68506-1205
Phone (913) 669-9369

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
I20250825000907 NE Practitioner - Nurse Practitioner 4789184797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monarch Counseling PCGroup PAC ID 3678899507, 8 clinicians

Practice addresses (Care Compare)

620 N 48TH St
Suite 202
Lincoln, NE 68504-3466
Phone (402) 489-6196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
113059NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Counseling, P.C. CurrentSince Jul 1, 2025 Accepting new patients
The Express Clinic LLC PastSince Sep 13, 2020 Accepting new patients
The Express Clinic, LLC PastSince Sep 13, 2020 Accepting new patients

Locations

620 N 48th St
Ste 202
Lincoln, NE 68504
Phone (402) 489-6196

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1023623451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S 45TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061205",
            "telephone_number": "913-669-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 N 27TH ST STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214162",
            "telephone_number": "402-423-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLOCK",
        "first_name": "KAYLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.