NPIMap

Individual provider Active NPI

Tara Z Stecklein, P.A.-C

  • Medical Physician Assistant
  • Kearney, NE
National Provider Identifier
1174895262
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1501514 Issued in KS
Practice address
620 East 25TH Street
Kearney, NE 68847-5511
Phone
(308) 865-2767
Fax
(308) 865-2765
NPI assigned
Feb 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1501514 KS Primary

Addresses

Primary practice location

620 East 25TH Street
Kearney, NE 68847-5511

Mailing address

P.O. Box 2290
Kearney, NE 68848
Phone (308) 785-8560

Other names 1

  • Tara Zabawa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806000475 NE Practitioner - Physician Assistant 3779743018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Associates P.C.Group PAC ID 0446243950, 15 clinicians

Practice addresses (Care Compare)

620 E 25TH St
Suite 5
Kearney, NE 68847-5511
Phone (308) 865-2767

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Centered Medicine Past Accepting new patients
Advanced Medical Imaging, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tarastecklein@familyprac.allscriptsdirect.net

Organizations & group practices 3

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 4

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": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1174895262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2290",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68848",
            "telephone_number": "308-785-8560",
            "fax_number": "308-865-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 EAST 25TH STREET",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475511",
            "telephone_number": "308-865-2767",
            "fax_number": "308-865-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKLEIN",
        "first_name": "TARA",
        "middle_name": "Z",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "1501514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "ZABAWA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.