Kathy L. Havlicek, DNP, APRN-NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

110806 Issued in NE

Practice address

7111 A St Ste 201
Lincoln, NE 68510-4283

Phone

(402) 489-7100

Fax

(402) 489-3249

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

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

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lincoln Family Medical Group PCGroup PAC ID 8022906775, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Lincoln Family Medical Group PC

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1295879559
  Medicare reassignment Care Compare group
• Danak Total Health Inc.

  • Primary Care Clinic/Center
  • Lincoln, NE
  • NPI 1760057087
  NPD Authorized official
• Ross Internal Medicine PC

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1518164243
  NPD
• Deck Family Practice

  • Family Nurse Practitioner
  • Lincoln, NE
  • NPI 1548845894
  NPD (past)
• Nebraska House Call Physicians, P.C.

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1811931637
  NPD (past)
• Value Based Long Term Care B PC

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1194498808
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619913600000",
    "number": "1144330457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 SUMNER ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061548",
            "telephone_number": "402-525-1512",
            "fax_number": "402-488-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 A ST STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104283",
            "telephone_number": "402-489-7100",
            "fax_number": "402-489-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVLICEK",
        "first_name": "KATHY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "110806",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "110806",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - NHCP",
            "identifier": "39194",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS - NHCP",
            "identifier": "252878",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PIN",
            "identifier": "10025595500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Havens, APRN-DNP
• Mary Catherine Havens
• Jena Jane Haverkamp, APRN, FNP-C
• Allison Haverman
• Carol Ann Havlat, APRN-NP
• Zhanna Havryshchuk
• Michelle A Hawco, MA, PLMHP
• London Hawk
• Tiara Hawkinds
• Elleree Dee Hawkins, PA

• Family Nurse Practitioner in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; 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.