NPIMap

Individual provider Active NPI

Katie L Beckmann, PA-C

  • Physician Assistant
  • Creighton, NE
National Provider Identifier
1225436157
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1909 Issued in NE
Practice address
804 Chase Ave
Creighton, NE 68729-2893
Phone
(402) 358-5335
Fax
(402) 358-3598
NPI assigned
Dec 9, 2014
Last updated
Oct 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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 1909 NE Primary

Addresses

Primary practice location

804 Chase Ave
Creighton, NE 68729-2893

Mailing address

PO Box 110
Creighton, NE 68729-0110
Phone (402) 358-5335

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
I20150410001899 NE Practitioner - Physician Assistant 8426376039 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians
Alegent Creighton HealthGroup PAC ID 1850285255, 137 clinicians
Plainview Public HospitalGroup PAC ID 1557358165, 5 clinicians

Practice addresses (Care Compare)

16909 Lakeside Hills CT
Omaha, NE 68130-4661

4508 38TH St
Suite 157
Columbus, NE 68601-1668
Phone (402) 562-8445

704 N 3Rd St
Plainview, NE 68769-2047
Phone (402) 582-4245

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1909NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health-Memorial Hospital Schuyler CurrentSince Dec 1, 2021 Accepting new patients
Alegent Health-Memorial Hospital Schuyler CurrentSince Jan 1, 2026 Accepting new patients
Alegent Creighton Health CurrentSince Oct 19, 2021 Accepting new patients
Alegent Creighton Health Physician Assistant CurrentSince Oct 19, 2021 Accepting new patients
Sacred Heart Health Services CurrentSince Mar 1, 2020 Accepting new patients
Alegent Health Memorial Hospital Schuyler CurrentSince Dec 1, 2021 Accepting new patients
Alegent Creighton Health CurrentSince Oct 1, 2025 Accepting new patients
Douglas M. Laflan, M.D., P.C. Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

704 N 3rd St
Plainview, NE 68769
Phone (402) 582-3434

704 N 3rd St
#489
Plainview, NE 68769
Phone (402) 582-4245

104 W 17th St
Schuyler, NE 68661
Phone (402) 352-2441

1721 Colfax St
Schuyler, NE 68661
Phone (402) 352-3745

Interoperability endpoints

  • Direct secure messaging: katie.demuth@avera.sdhealthlink.net

Organizations & group practices 11

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 2

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": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1225436157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110",
            "city": "CREIGHTON",
            "state": "NE",
            "postal_code": "687290110",
            "telephone_number": "402-358-5335",
            "fax_number": "402-358-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 CHASE AVE",
            "city": "CREIGHTON",
            "state": "NE",
            "postal_code": "687292893",
            "telephone_number": "402-358-5335",
            "fax_number": "402-358-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMANN",
        "first_name": "KATIE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creighton, NE

Sources for this page

Verify at the official NPI Registry.