NPIMap

Individual provider Active NPI

Kaleigh Marie Krebs, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Gordon, NE
National Provider Identifier
1104478627
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112865 Issued in NE
Practice address
807 N Ash St
Gordon, NE 69343-1132
Phone
(308) 282-1442
NPI assigned
Jul 15, 2019
Last updated
Jan 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 112865 NE Primary

Addresses

Primary practice location

807 N Ash St
Gordon, NE 69343-1132

Mailing address

807 N Ash St
Gordon, NE 69343-1132
Phone (308) 282-1442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX, SD3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190923000248 NE Practitioner - Nurse Practitioner 5698005437 Reassigns benefits to 6 organizations
I20200908001148 TX Practitioner - Nurse Practitioner 5698005437 Reassigns benefits to 1 organization
I20230222002270 SD Practitioner - Nurse Practitioner 5698005437

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gordon Memorial HospitalGroup PAC ID 3072403575, 13 clinicians

Practice addresses (Care Compare)

300 E 8TH St
Gordon, NE 69343-1123
Phone (308) 282-0401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Single Specialty Current Accepting new patients
Box Butte General Hospital Single Specialty Current Accepting new patients
Chadron Community Hospital Corp. Single Specialty Current Accepting new patients
Pine Ridge Indian Health Service Hospital Single Specialty CurrentSince Aug 5, 2020 Accepting new patients
Teledigm Physician Services, LLC Single Specialty CurrentSince Jun 5, 2023 Accepting new patients
Box Butte General Hospital Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Box Butte General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Box Butte General Hospital Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Pine Ridge Indian Health Service Hospital Single Specialty CurrentSince Aug 5, 2020 Accepting new patients
Gordon Memorial Hospital Past Accepting new patients
Gordon Memorial Hospital Past Accepting new patients

Locations

2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

2107 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534

825 Centennial Dr
Chadron, NE 69337
Phone (308) 432-4441

2222 S 16th St
Ste 401A
Lincoln, NE 68502
Phone (402) 483-8744

5733 S 34th St
Ste 500
Lincoln, NE 68516
Phone (531) 350-6970

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/gordon-7f82821b

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1104478627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N ASH ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431132",
            "telephone_number": "308-282-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N ASH ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431132",
            "telephone_number": "308-282-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREBS",
        "first_name": "KALEIGH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gordon, NE

Sources for this page

Verify at the official NPI Registry.