Individual provider Active NPI

Kathryn A Kesti, PAC

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1124651443
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2450 Issued in NE
Practice address
4242 Farnam St Ste 500
Omaha, NE 68131-2850
Phone
(402) 552-2650
Fax
(402) 552-2655
NPI assigned
Feb 14, 2020
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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 2450 NE Primary

Addresses

Primary practice location

4242 Farnam St Ste 500
Omaha, NE 68131-2850

Mailing address

4242 Farnam St Ste 500
Omaha, NE 68131-2850
Phone (402) 552-2650

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200311002195 NE Practitioner - Physician Assistant 7416385125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Consultants of Nebraska PCGroup PAC ID 4385685387, 7 clinicians

Practice addresses (Care Compare)

11336 S 96TH St
Suite 111
Papillion, NE 68046-4211
Phone (531) 867-7317

13340 California St
Suite 201
Omaha, NE 68154-5255
Phone (531) 999-2670

4350 Dewey Ave
Omaha, NE 68198-1586
Phone (402) 552-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2450NEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Centers of the Midlands LLC PastSince Mar 1, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12153/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1124651443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST STE 500",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312850",
            "telephone_number": "402-552-2650",
            "fax_number": "402-552-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST STE 500",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312850",
            "telephone_number": "402-552-2650",
            "fax_number": "402-552-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTI",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.