Individual provider Active NPI

Kristi L Jagels, PT

  • Physical Therapist
  • Madison, NE
National Provider Identifier
1144308271
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1299 Issued in NE
Practice address
119 Saddle Lane
Madison, NE 68748-6009
Phone
(402) 454-9300
Fax
(402) 454-9304
NPI assigned
Nov 2, 2006
Last updated
Apr 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1299 NE Primary

Addresses

Primary practice location

119 Saddle Lane
Madison, NE 68748-6009

Mailing address

119 Saddle Lane
Madison, NE 68748-6009
Phone (402) 454-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080509000441 NE Practitioner - Physical Therapist in Private Practice 3274612635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Sanford School of Medicine of University of South Dakota, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Creek Physical Therapy LLCGroup PAC ID 1456430818, 2 clinicians

Practice addresses (Care Compare)

2404 Taylor Ave
Suite 300
Norfolk, NE 68701-4646
Phone (402) 379-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1144308271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SADDLE LANE",
            "city": "MADISON",
            "state": "NE",
            "postal_code": "687486009",
            "telephone_number": "402-454-9300",
            "fax_number": "402-454-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SADDLE LANE",
            "city": "MADISON",
            "state": "NE",
            "postal_code": "687486009",
            "telephone_number": "402-454-9300",
            "fax_number": "402-454-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGELS",
        "first_name": "KRISTI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.