Individual provider Active NPI

Kathleen Jordan Pfeffer, APRN NP

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1245952340
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114240 Issued in NE
Practice address
3201 Pioneers Blvd Ste 304
Lincoln, NE 68502-5963
Phone
(402) 483-2987
NPI assigned
Sep 15, 2022
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 114240 NE Primary

Addresses

Primary practice location

3201 Pioneers Blvd Ste 304
Lincoln, NE 68502-5963

Mailing address

3201 Pioneers Blvd Ste 304
Lincoln, NE 68502-5963
Phone (402) 483-2987

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katie-pfeffer@southlincolnfamily.e-mdsdirect.com

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
I20221025002414 NE Practitioner - Nurse Practitioner 7517333008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Lincoln Family Physicians PCGroup PAC ID 7214911270, 15 clinicians

Practice addresses (Care Compare)

4130 Pioneer Woods Dr
2 Primary Care Partners
Lincoln, NE 68506-7522
Phone (402) 483-2987

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Lincoln Family Physicians, PC CurrentSince Sep 20, 2022 Accepting new patients
South Lincoln Family Physicians, PC CurrentSince Oct 1, 2022 Accepting new patients

Locations

3201 Pioneers Blvd
Ste 304
Lincoln, NE 68502
Phone (402) 483-2987

4130 Pioneer Woods Dr
Ste 2
Lincoln, NE 68506
Phone (402) 483-2987

4424 S 86th St
Lincoln, NE 68526
Phone (402) 483-2987

Interoperability endpoints

  • Direct secure messaging: katie-pfeffer@southlincolnfamily.e-mdsdirect.com

Organizations & group practices 2

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 5

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": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1245952340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 PIONEERS BLVD STE 304",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025963",
            "telephone_number": "402-483-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 PIONEERS BLVD STE 304",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025963",
            "telephone_number": "402-483-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEFFER",
        "first_name": "KATHLEEN",
        "middle_name": "JORDAN",
        "credential": "APRN NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie-pfeffer@southlincolnfamily.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "3201 Pioneers Blvd Ste 304",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685025963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.