Individual provider Active NPI

Krista Parks, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1205588977
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1101 S 70TH St Ste 100
Lincoln, NE 68510-4293
Phone
(402) 483-4292
Fax
(402) 483-4735
NPI assigned
Jan 24, 2022
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NE Primary
Surgical Physician Assistant 363AS0400X NU

Addresses

Primary practice location

1101 S 70TH St Ste 100
Lincoln, NE 68510-4293

Mailing address

1101 S 70TH St Ste 100
Lincoln, NE 68510-4293
Phone (402) 483-4292

Other practice location 1

5055 A St Ste 100
Lincoln, NE 68510-4970
Phone (402) 480-7222

Other practice location 2

1600 S 48th St
Lincoln, NE 68506-1283
Phone (402) 481-1111

Other practice location 3

2300 S 16th St
Lincoln, NE 68502-3704
Phone (402) 481-1111

Other practice location 4

555 S 70th St
Lincoln, NE 68510-2462
Phone (402) 219-8000

Other practice location 5

625 S 70th St
Lincoln, NE 68510-2404
Phone (402) 484-6600

Other practice location 6

1710 S 70th St Ste 200
Lincoln, NE 68506-1682
Phone (402) 484-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.75 of 100Reported as group
Quality
61.33
Improvement activities
40
Cost
74.06

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1205588977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S 70TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104293",
            "telephone_number": "402-483-4292",
            "fax_number": "402-483-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S 70TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104293",
            "telephone_number": "402-483-4292",
            "fax_number": "402-483-4735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5055 A St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685104970",
            "country_code": "US",
            "telephone_number": "402-480-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 S 48th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685061283",
            "country_code": "US",
            "telephone_number": "402-481-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685023704",
            "country_code": "US",
            "telephone_number": "402-481-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S 70th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685102462",
            "country_code": "US",
            "telephone_number": "402-219-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 S 70th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685102404",
            "country_code": "US",
            "telephone_number": "402-484-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 S 70th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685061682",
            "country_code": "US",
            "telephone_number": "402-484-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "KRISTA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.