Individual provider Active NPI

Kristin M Music, P.A.-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1174615900
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
831 Issued in NE
Practice address
110 N 175TH St Ste 2600
Omaha, NE 68118-3515
Phone
(402) 596-4200
Fax
(402) 596-4240
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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 831 NE Primary

Addresses

Primary practice location

110 N 175TH St Ste 2600
Omaha, NE 68118-3515

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Other practice location 1

17021 Lakeside Hills Plz Ste 100
Omaha, NE 68130-2390
Phone (402) 413-5010

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
I20040607000028 NE Practitioner - Physician Assistant 2668454372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Pain and Spine SpecialistsGroup PAC ID 6406146083, 8 clinicians

Practice addresses (Care Compare)

7121 Stephanie LN
Suite 102
Lincoln, NE 68516-5352
Phone (402) 413-5010

7121 Stephanie LN
Suite 102
Lincoln, NE 68516-5359

Hospital & facility affiliations

  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • Midwest Surgical Hospital LLC Hospital, Omaha, NE, CCN 280131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
831NEMDCounseling Psychologist
002081IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Family Physicians. PC Past Accepting new patients
Holmes & Munyon, P.C. Physician Assistant PastSince Aug 7, 2004 Accepting new patients
Alegent Creighton Clinic Physician Assistant Past Accepting new patients

Organizations & group practices 4

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.

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1174615900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 175TH ST STE 2600",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183515",
            "telephone_number": "402-596-4200",
            "fax_number": "402-596-4240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17021 Lakeside Hills Plz Ste 100",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681302390",
            "country_code": "US",
            "telephone_number": "402-413-5010",
            "fax_number": "402-413-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSIC",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.