Individual provider Active NPI

Abby Cole, PA-C

  • Physician Assistant
  • Crete, NE
National Provider Identifier
1205101607
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1642 Issued in NE
Practice address
2910 Betten Dr
Crete, NE 68333-3084
Phone
(402) 826-2102
NPI assigned
Mar 19, 2012
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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 1642 NE Primary

Addresses

Primary practice location

2910 Betten Dr
Crete, NE 68333-3084

Mailing address

2910 Betten Dr
Suite 200
Crete, NE 68333-3084
Phone (402) 239-7544

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
I20120419000120 NE Practitioner - Physician Assistant 1658532650 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crete Area Medical CenterGroup PAC ID 4385556216, 20 clinicians

Practice addresses (Care Compare)

2910 Betten Dr
Crete, NE 68333-3084
Phone (402) 826-2102

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1642NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crete Area Medical Center CurrentSince Jul 19, 2014 Accepting new patients
Bryan Physician Network CurrentSince Oct 24, 2023 Accepting new patients
Crete Area Medical Center CurrentSince Jul 19, 2014 Accepting new patients
Crete Area Medical Center Past Accepting new patients

Locations

2910 Betten Dr
Crete, NE 68333
Phone (402) 826-1191

2910 Betten Dr
Ste 200
Crete, NE 68333

1210 2nd St
Friend, NE 68359
Phone (402) 947-2021

2222 S 16th St
Ste 340A
Lincoln, NE 68502

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1205101607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 BETTEN DR",
            "address_2": "SUITE 200",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683333084",
            "telephone_number": "402-239-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BETTEN DR",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683333084",
            "telephone_number": "402-826-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "ABBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crete, NE

Sources for this page

Verify at the official NPI Registry.