Individual provider Active NPI

Abby N Hanzlicek, M.D.

  • Family Medicine Physician
  • Fairbury, NE
National Provider Identifier
1255960951
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34473 Issued in NE
Practice address
2200 H St
Fairbury, NE 68352-1119
Phone
(402) 729-3351
NPI assigned
Apr 4, 2020
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34473 NE Primary
Family Medicine Physician 207Q00000X 04-10180 KS

Addresses

Primary practice location

2200 H St
Fairbury, NE 68352-1119

Mailing address

PO Box 277
Fairbury, NE 68352-0277
Phone (402) 729-3351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230103002639 KS Practitioner - Family Practice 1052734597 Reassigns benefits to 1 organization
I20251231002582 NE Practitioner - Family Practice 1052734597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Community Health Center IncGroup PAC ID 2668574542, shared by 5 NPIs, 24 clinicians

Practice addresses (Care Compare)

2200 H St
Fairbury, NE 68352-1119
Phone (402) 729-3351

600 I St
Pawnee City, NE 68420-3001
Phone 4028522231161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-10180KSMDFamily Medicine Physician
34473NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Community Health Center Inc Family Medicine CurrentSince Jan 12, 2026 Accepting new patients
Jefferson Community Health Center, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Jefferson Community Health Center Inc Family Medicine CurrentSince Jan 12, 2026 Accepting new patients
Pawnee County Memorial Hospital Current Accepting new patients

Locations

2200 H St
Fairbury, NE 68352
Phone (402) 729-3351

2200 H St
#277
Fairbury, NE 68352
Phone (402) 729-3351

Organizations & group practices 4

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 4

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": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1255960951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683520277",
            "telephone_number": "402-729-3351",
            "fax_number": "402-729-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 H ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683521119",
            "telephone_number": "402-729-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANZLICEK",
        "first_name": "ABBY",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "34473",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-10180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbury, NE

Sources for this page

Verify at the official NPI Registry.