NPIMap

Individual provider Active NPI

Nicholas B Kinkead

  • Physician Assistant
  • Tecumseh, NE
National Provider Identifier
1093245235
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2130 Issued in NE
Practice address
202 High St
Tecumseh, NE 68450-2443
Phone
(402) 335-2811
Fax
(402) 335-2826
NPI assigned
Jun 19, 2017
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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 2130 NE Primary

Addresses

Primary practice location

202 High St
Tecumseh, NE 68450-2443

Mailing address

PO Box 538
Tecumseh, NE 68450-0538
Phone (402) 335-2811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170728002918 NE Practitioner - Physician Assistant 1557632270 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Physician Associates, LLCGroup PAC ID 2365334364, 76 clinicians

Practice addresses (Care Compare)

1600 N 48TH St
Lincoln, NE 68506-1283
Phone (402) 481-8566

2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 475-1011

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William M Johnson, MD, PC Current Accepting new patients
Douglas R. Fiedler, MD, PC Current Accepting new patients
Kevin J Reichmuth, MD, PC Current Accepting new patients
Pulmonary Medicine of Lincoln, PC Current Accepting new patients
Johnson County Hospital CurrentSince Jul 16, 2018 Accepting new patients
John F. Trapp, MD, PC Current Accepting new patients
Jeffrey E Jarrett, MD, PC Current Accepting new patients
Johnson County Hospital Past Accepting new patients

Locations

1500 S 48th St
Ste 800
Lincoln, NE 68506
Phone (402) 483-8600

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

202 High St
Tecumseh, NE 68450
Phone (402) 274-4373

Organizations & group practices 12

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1093245235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684500538",
            "telephone_number": "402-335-2811",
            "fax_number": "402-335-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HIGH ST",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684502443",
            "telephone_number": "402-335-2811",
            "fax_number": "402-335-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINKEAD",
        "first_name": "NICHOLAS",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, NE

Sources for this page

Verify at the official NPI Registry.