Individual provider Active NPI

Kelsi B Krienert, APRN

  • Nurse Practitioner
  • Norfolk, NE
National Provider Identifier
1063723955
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111148 Issued in NE
Practice address
110 N 16TH St
Suite 16
Norfolk, NE 68701-3670
Phone
(402) 644-7314
Fax
(402) 644-7315
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111148 NE Primary

Addresses

Primary practice location

110 N 16TH St
Suite 16
Norfolk, NE 68701-3670

Mailing address

110 N 16TH St
Suite 16
Norfolk, NE 68701-3670
Phone (402) 644-7314

Other identifiers 1

IdentifierTypeStateIssuer
24616OtherNEBCBS NE

Other names 1

  • Kelsi B Warneke Former name

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
I20100817001163 NE Practitioner - Nurse Practitioner 1951435676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

215 E Main St
FRPS Pierce Family Medicine
Pierce, NE 68767-0067
Phone (402) 329-4195

Hospital & facility affiliations

  • Faith Health Hospital, Norfolk, NE, CCN 280125

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1871NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Lake Health LLC Nurse Practitioner Past Accepting new patients
Pine Lake Health LLC Nurse Practitioner Past Accepting new patients

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.

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1063723955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 16TH ST",
            "address_2": "SUITE 16",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013670",
            "telephone_number": "402-644-7314",
            "fax_number": "402-644-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 16TH ST",
            "address_2": "SUITE 16",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013670",
            "telephone_number": "402-644-7314",
            "fax_number": "402-644-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIENERT",
        "first_name": "KELSI",
        "middle_name": "B",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "24616",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSI",
            "last_name": "WARNEKE",
            "middle_name": "B",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.