Katrina A White, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1174 Issued in NE

Practice address

145 Memorial Drive
Broken Bow, NE 68822-0690

Phone

(308) 872-2486

Fax

(308) 872-2027

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Katrina A Trimble Former name

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Emergency Grand Island IncGroup PAC ID 1153677828, 21 clinicians

Phelps Memorial Health CenterGroup PAC ID 9931011947, shared by 4 NPIs, 35 clinicians

Valley County HospitalGroup PAC ID 7810808250, shared by 8 NPIs, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley County Health System Hospital, Ord, NE, CCN 281353
• CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Midwest Emergency Grand Island Inc

  • Emergency Medicine Physician
  • Grand Island, NE
  • NPI 1508357930
  Medicare reassignment Care Compare group NPD
• Phelps Memorial Health Center

  • Critical Access Hospital
  • Holdrege, NE
  • NPI 1629035936
  Medicare reassignment NPD
• Phelps Memorial Health Center

  • Certified Registered Nurse Anesthetist
  • Holdrege, NE
  • NPI 1871528851

  Physician Assistant

  Medicare reassignment NPD
• Valley County Hospital

  • Critical Access Hospital
  • Ord, NE
  • NPI 1609834985
  Medicare reassignment NPD
• Valley County Hospital

  • Family Medicine Physician
  • Ord, NE
  • NPI 1619927654
  Medicare reassignment NPD
• Phelps Memorial Health Center

  • Rural Health Clinic/Center
  • Holdrege, NE
  • NPI 1891189809

  Family Medicine

  NPD
• Valley County Hospital

  • Rural Health Clinic/Center
  • Loup City, NE
  • NPI 1427495308
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Hospital

  • Psychiatric Hospital Unit
  • Kearney, NE
  • NPI 1114942869
  Care Compare affiliation
• Good Samaritan Hospital

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1336184019
  Care Compare affiliation
• Valley County Hospital

  • Critical Access Hospital
  • Ord, NE
  • NPI 1609834985
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1104919240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688220690",
            "telephone_number": "308-872-2486",
            "fax_number": "308-872-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MEMORIAL DRIVE",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688220690",
            "telephone_number": "308-872-2486",
            "fax_number": "308-872-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATRINA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "1174",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "TRIMBLE",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• VSL Broken Bow LLC
• Jackie Wagner
• Carol E Watson
• Maxine Wehling, RDH
• Kimberly Wells
• Wholeness Healing Center, P.C.
• Sierra Kendra Katherine Wiedeman
• Hallee Elaine Williams
• Lori Lea Williams
• Lori Marie Williams

• Physician Assistant in Broken Bow, NE
• Providers in Broken Bow, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.

Verify at the official NPI Registry.