Active NPI
Nicole Wanda Catherine Nolan, MD
- Radiation Oncology Physician
- Kearney, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 29066
- Practice address
- CHI Cancer Center 104 W 33Rd Street
Kearney, NE 68847 - Phone
- (308) 865-7985
- NPI assigned
- Jul 3, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1437184652
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kearney, NE
- NPI 1407513484
Care Compare affiliation Hospital -
- Psychiatric Hospital Unit
- Kearney, NE
- NPI 1114942869
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Kearney, NE
- NPI 1336184019
Care Compare affiliation Hospital -
- Critical Access Hospital
- Minden, NE
- NPI 1477585958
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Grand Island, NE
- NPI 1982675955
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
Care Compare affiliation Hospital
Medicare Care Compare profile
- Specialty
- Radiation Oncology
- Education
- Creighton University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CHI Health Clinic Specialty LLC
Practice addresses (Care Compare)
10 E 31St St
CHI Health Good Samaritan
Kearney, NE 68847-2908
Phone (308) 865-7100
Hospital & facility affiliations
- CHI Health Good Samaritan
- The Nebraska Medical Center
- Kearney Regional Medical Center
- CHI Health St. Francis
- Kearney County Health Services Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160721000031 | NE | Practitioner - Radiation Oncology | 6800027566 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43227 | IA | MD | Radiation Oncology Physician |
| 57.023749 | OH | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHI Health Clinic Specialty, LLC | Radiation Oncology | Current |
Accepting new patients |
| The Physician Network | Past |
Accepting new patients |
Locations
104 W 33rd St
Kearney, NE 68847
Phone (308) 865-7564
10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 43227 | IA | |
| Radiation Oncology Physician | 2085R0001X | 57.023749 | OH | |
| Radiation Oncology Physician | 2085R0001X | 29066 | NE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
CHI Cancer Center 104 W 33Rd Street
Kearney, NE 68847
Mailing address
PO Box 10190
Virginia Beach, VA 23450-0190
Phone (800) 477-5240
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026181000 | Medicaid | NE | |
| 1083901698 | Medicaid | IA | |
| 10026527500 | Medicaid | NE | |
| 10025044300 | Medicaid | NE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2023.
{
"created_epoch": "1309651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1083901698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10190",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234500190",
"telephone_number": "800-477-5240",
"fax_number": "757-216-1638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHI CANCER CENTER 104 W 33RD STREET",
"city": "KEARNEY",
"state": "NE",
"postal_code": "68847",
"telephone_number": "308-865-7985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "NICOLE",
"middle_name": "WANDA CATHERINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-03",
"last_updated": "2023-11-13",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IA",
"license": "43227",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OH",
"license": "57.023749",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NE",
"license": "29066",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026181000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083901698",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026527500",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025044300",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.