Individual provider Active NPI

Kendall M Bolte, PA-C

  • Physician Assistant
  • York, NE
National Provider Identifier
1215348388
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1873 Issued in NE
Practice address
2114 N Lincoln Ave
Suite a
York, NE 68467-1072
Phone
(402) 362-5044
Fax
(402) 362-7137
NPI assigned
May 12, 2014
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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 1873 NE Primary

Addresses

Primary practice location

2114 N Lincoln Ave
Suite a
York, NE 68467-1072

Mailing address

2114 N Lincoln Ave
Suite a
York, NE 68467-1072
Phone (402) 362-5044

Other names 1

  • Kendall M Mauer Former name

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
I20150210001201 NE Practitioner - Physician Assistant 7810110889 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
York Medical Clinic PCGroup PAC ID 7113918939, 12 clinicians
York General HospitalGroup PAC ID 9234021080, shared by 6 NPIs, 20 clinicians

Practice addresses (Care Compare)

2114 N Lincoln Ave
Suite a
York, NE 68467-1072
Phone 40236255556159

2222 N Lincoln Ave
York, NE 68467-1030
Phone (402) 362-6671

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1873NEMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
York General Hospital CurrentSince Oct 1, 2025 Accepting new patients
York General Hospital CurrentSince Oct 1, 2025 Accepting new patients
York General Hospital CurrentSince Oct 1, 2025 Accepting new patients

Locations

2114 N Lincoln Ave
Ste A
York, NE 68467
Phone (402) 362-5044

2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-0420

309 S 35th St
Ste B
York, NE 68467
Phone (402) 745-1800

Interoperability endpoints

  • Direct secure messaging: kendall.bolte@ymc1.eclinicaldirectplus.com
  • Direct secure messaging: kendallbolte@ynemcpc.allscriptsdirect.net

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1215348388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 N LINCOLN AVE",
            "address_2": "SUITE A",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671072",
            "telephone_number": "402-362-5044",
            "fax_number": "402-362-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N LINCOLN AVE",
            "address_2": "SUITE A",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671072",
            "telephone_number": "402-362-5044",
            "fax_number": "402-362-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTE",
        "first_name": "KENDALL",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDALL",
            "last_name": "MAUER",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, NE

Sources for this page

Verify at the official NPI Registry.