Kelsey Lynn Baxa, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

112192 Issued in NE

Practice address

1520 S 70TH St Ste 200
Lincoln, NE 68506

Phone

(402) 464-9000

Fax

(402) 464-4447

NPI assigned

Mar 17, 2017

Last updated

May 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crete Area Medical CenterGroup PAC ID 4385556216, shared by 6 NPIs, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eventide Home Health Care Home health agency, Lincoln, NE, CCN 287002
• Crete Area Medical Center Hospital, Crete, NE, CCN 281354
• Beatrice Community Hospital & Health Center, Inc Hospital, Beatrice, NE, CCN 281364

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbaxa86232@hisp.bryanhealth.org

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

• Beatrice Community Hospital & Health Center Inc

  dba BCHHC Professional Services

  • Emergency Medicine Physician
  • Beatrice, NE
  • NPI 1922111855

  Nurse Practitioner

  Medicare reassignment NPD
• Crete Area Medical Center

  • Critical Access Hospital
  • Crete, NE
  • NPI 1063463958
  Medicare reassignment NPD
• Crete Area Medical Center

  • Family Medicine Physician
  • Crete, NE
  • NPI 1245281138
  Medicare reassignment NPD
• Rheumatology & Osteoporosis Services, P.C.

  • Rheumatology Physician
  • Lincoln, NE
  • NPI 1174737597
  Medicare reassignment
• Crete Area Medical Center

  dba Friend Medical Clinic

  • Rural Health Clinic/Center
  • Friend, NE
  • NPI 1699217588
  NPD
• Crete Area Medical Center

  dba Wilber Medical Clinic

  • Rural Health Clinic/Center
  • Wilber, NE
  • NPI 1588614481
  NPD (past)
• Crete Area Medical Center

  • Rural Health Clinic/Center
  • Crete, NE
  • NPI 1841240744
  NPD (past)

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

• Beatrice Community Hospital & Health Center Inc

  • Critical Access Hospital
  • Beatrice, NE
  • NPI 1184642894
  Care Compare affiliation
• Crete Area Medical Center

  • Critical Access Hospital
  • Crete, NE
  • NPI 1063463958
  Care Compare affiliation
• Tabitha, Inc.

  dba Tabitha Home Health Care

  • Home Health Agency
  • Lincoln, NE
  • NPI 1720163298
  Care Compare affiliation

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1063953453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 FENWICK DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465706",
            "telephone_number": "402-593-3141",
            "fax_number": "402-593-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S 70TH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68506",
            "telephone_number": "402-464-9000",
            "fax_number": "402-464-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXA",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112192",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112192",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE MEDICAL LICENSE",
            "identifier": "112192",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Bronson Bausch, DPT
• Joseph Bruce Bavitz, D.M.D.
• Htoo Htoo Baw
• Claire Savera Baweja, DNP, APRN, FNP-C
• Kimberly Bax, BSNRN
• David Albert Baxter III, MD
• Joslyn Rose Baxter
• Kaitlin Baxter
• Kinley Baxter
• Kyly Lashay Baxter, MA

• Nurse Practitioner in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.