Active NPI
Kris L Mleczko, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Grand Island, NE
National Provider Identifier
1073579207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 18106
- Practice address
- 2620 W Faidley Ave
St. Francis Med. Ctr.
Grand Island, NE 68803-4205 - Phone
- (308) 398-5424
- Fax
- (308) 398-5429
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 18106 | NE | Primary |
Addresses
Primary practice location
2620 W Faidley Ave
St. Francis Med. Ctr.
Grand Island, NE 68803-4205
Mailing address
2620 W Faidley Ave
St. Francis Med. Ctr.
Grand Island, NE 68803-4205
Phone (308) 398-5424
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32306 | Other | NE | BCBS |
| 47080740913 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18106 | NE | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Physician Network | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1437184652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073579207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 W FAIDLEY AVE",
"address_2": "ST. FRANCIS MED. CTR.",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034205",
"telephone_number": "308-398-5424",
"fax_number": "308-398-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 W FAIDLEY AVE",
"address_2": "ST. FRANCIS MED. CTR.",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034205",
"telephone_number": "308-398-5424",
"fax_number": "308-398-5429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MLECZKO",
"first_name": "KRIS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NE",
"license": "18106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "32306",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47080740913",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.