Individual provider Active NPI

Nicholas Kolar, PA-C

  • Physician Assistant
  • Kearney, NE
National Provider Identifier
1194356048
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2437 Issued in NE
Practice address
3219 Central Ave Ste 102a
Kearney, NE 68847-2949
Phone
(308) 865-2600
NPI assigned
Jan 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 2437 NE Primary

Addresses

Primary practice location

3219 Central Ave Ste 102a
Kearney, NE 68847-2949

Mailing address

9535 Rio Madera Rd
Kearney, NE 68845-8317

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
I20200220002162 NE Practitioner - Physician Assistant 0941637573 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2437NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC CurrentSince Oct 6, 2025 Accepting new patients
Columbus Community Hospital Inc CurrentSince Feb 1, 2026 Accepting new patients
Columbus Community Hospital Inc Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Bryan Hospital Kearney CurrentSince May 23, 2022 Accepting new patients
Columbus General Surgery PC Past Accepting new patients

Locations

4508 38th St
Ste 133
Columbus, NE 68601
Phone (402) 562-4700

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

Interoperability endpoints

  • Direct secure messaging: nicholaskolar@cneb.allscriptsdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1194356048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 RIO MADERA RD",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CENTRAL AVE STE 102A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472949",
            "telephone_number": "308-865-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAR",
        "first_name": "NICHOLAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-30",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.