NPIMap

Individual provider Active NPI

Kathryn Thelen, D.O.

  • Family Medicine Physician
  • Holdrege, NE
National Provider Identifier
1104209337
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1662 Issued in NE
Practice address
516 W 14TH Ave Ste 100
Holdrege, NE 68949
Phone
(308) 955-4431
Fax
(308) 995-3247
NPI assigned
Jul 7, 2015
Last updated
Aug 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1662 NE Primary
Family Medicine Physician 207Q00000X TEP7575 NE

Addresses

Primary practice location

516 W 14TH Ave Ste 100
Holdrege, NE 68949

Mailing address

516 W 14TH Ave Ste 100
Holdrege, NE 68949-1215
Phone (089) 955-4431

Other practice location 1

4600 Valley Road
Ste 200
Lincoln, NE 68510-4882
Phone (402) 483-4571

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
I20180507000739 NE Practitioner - Family Practice 9638474976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holdrege Medical Clinic PCGroup PAC ID 2769372002, 10 clinicians

Practice addresses (Care Compare)

516 W 14TH Ave
Suite 100
Holdrege, NE 68949-1215
Phone (308) 995-4431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.67 of 100Reported as group
Quality
100
Promoting interoperability
91
Improvement activities
40
Cost
59.74

Merit-based Incentive Payment System (MIPS)

Final score
92.2 of 100Reported as group
Quality
88.55
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions28
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7575NEMDGeneral Practice Dentistry
TEP7575NEMDFamily Medicine Physician
1662NEMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holdrege Medical Clinic, P.C. Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients
Phelps Memorial Health Center CurrentSince Jul 1, 2018 Accepting new patients
Phelps Memorial Health Center Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Holdrege Memorial Homes, Inc. Past Accepting new patients
Holdrege Medical Clinic, P.C. Family Medicine Past Accepting new patients
Christian Homes, Inc. Past Accepting new patients

Locations

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

516 W 14th Ave
#100
Holdrege, NE 68949
Phone (308) 995-4431

Interoperability endpoints

  • Direct secure messaging: kathryn.thelen@nehiidirectmail.org
  • Direct secure messaging: kathrynthelen@hmcpc.allscriptsdirect.net

Organizations & group practices 7

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 11

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1104209337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W 14TH AVE STE 100",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491215",
            "telephone_number": "089-955-4431",
            "fax_number": "308-995-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W 14TH AVE STE 100",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "68949",
            "telephone_number": "308-955-4431",
            "fax_number": "308-995-3247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 VALLEY ROAD",
            "address_2": "STE 200",
            "address_purpose": "LOCATION",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104882",
            "country_code": "US",
            "telephone_number": "402-483-4571",
            "fax_number": "402-483-5079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THELEN",
        "first_name": "KATHRYN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "1662",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "TEP7575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdrege, NE

Sources for this page

Verify at the official NPI Registry.