Individual provider Active NPI

Colin Grandgenett, PA

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1073304721
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3100 N 14TH St
Lincoln, NE 68521-2134
Phone
(402) 477-6600
NPI assigned
May 13, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3100 N 14TH St
Lincoln, NE 68521-2134

Mailing address

649 County Road 14
Wahoo, NE 68066-4034

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Colin.Grandgenett.p1@direct.bluestemlincoln.nextgenshare.com Bluestem Health
Direct Messaging Address Colin.Grandgenett.p1@direct.bluestemlincoln.nextgenshare.com Bluestem Health
Direct Messaging Address Colin.Grandgenett.p1@direct.bluestemlincoln.nextgenshare.com Bluestem Health
Direct Messaging Address Colin.Grandgenett.p1@direct.bluestemlincoln.nextgenshare.com Bluestem Health

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
I20250818000251 NE Practitioner - Physician Assistant 0244739225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluestem HealthGroup PAC ID 6800706672, 26 clinicians

Practice addresses (Care Compare)

1021 N 27TH St
Lincoln, NE 68503-1803
Phone (402) 476-1455

3100 N 14TH St
201 Bluestem Health Kreshel Clinic
Lincoln, NE 68521-2134
Phone (402) 476-1455

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestem Health CurrentSince May 18, 2025 Accepting new patients
Bluestem Health CurrentSince Jun 17, 2025 Accepting new patients

Locations

1021 N 27th St
Lincoln, NE 68503
Phone (402) 476-1640

2222 S 16th St
Ste 435
Lincoln, NE 68502
Phone (402) 474-7445

3100 N 14th St
Lincoln, NE 68521
Phone (402) 477-6600

Interoperability endpoints

  • Direct secure messaging: colin.grandgenett.p1@direct.bluestemlincoln.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1073304721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 COUNTY ROAD 14",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N 14TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685212134",
            "telephone_number": "402-477-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDGENETT",
        "first_name": "COLIN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Colin.Grandgenett.p1@direct.bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "1021 N 27th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685031803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Colin.Grandgenett.p1@direct.bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "2301 O St",
            "address_2": "Suite 2",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685101124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Colin.Grandgenett.p1@direct.bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "2222 S 16th St",
            "address_2": "Ste 435",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685023796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Colin.Grandgenett.p1@direct.bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "3100 N 14th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685212134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.