Carol Mary Packard, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

459 Issued in NE

Practice address

221 E 10TH St
Ogallala, NE 69153-1425

Phone

(308) 284-8421

NPI assigned

Mar 14, 2006

Last updated

Jul 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perkins County Hospital DistrictGroup PAC ID 0840109823, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Perkins County Health Services Hospital, Grant, NE, CCN 281356
• Ogallala Community Hospital Hospital, Ogallala, NE, CCN 281355
• Great Plains Health Hospital, North Platte, NE, CCN 280065

Merit-based Incentive Payment System (MIPS)

Final score

31.28 of 100Reported as group

Quality

19.15

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Perkins County Hospital District

  dba Perkins County Community Hospital

  • Critical Access Hospital
  • Grant, NE
  • NPI 1437167970
  Medicare reassignment Care Compare group
• Perkins County Hospital District

  dba Grant Medical Clinic

  • Critical Access Hospital Clinic/Center
  • Grant, NE
  • NPI 1720095755
  NPD
• Perkins County Hospital District

  dba Perkins County Family Clinic

  • Critical Access Hospital Clinic/Center
  • Ogallala, NE
  • NPI 1720639974
  NPD
• Perkins County Hospital District

  dba Perkins County Health Services

  • Critical Access Hospital
  • Grant, NE
  • NPI 1629086012
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Platte Nebraska Hospital Corporation

  dba Great Plains Health

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533
  Care Compare affiliation
• North Platte Nebraska Hospital Corporation

  dba Great Plains Health

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1902660509
  Care Compare affiliation
• Ogallala Community Hospital

  • Critical Access Hospital
  • Ogallala, NE
  • NPI 1710915467
  Care Compare affiliation
• Perkins County Hospital District

  dba Perkins County Health Services

  • Critical Access Hospital
  • Grant, NE
  • NPI 1629086012
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1265401277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691530026",
            "telephone_number": "308-284-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E 10TH ST",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691531425",
            "telephone_number": "308-284-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "CAROL",
        "middle_name": "MARY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-083450613",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ogallala Medical Group
• Ogallala Medical Group
• Elizabeth Orear
• Ashlynn Rae Orr, SLP-A
• Crystal Lynn Orr, PA-C
• John J Paloucek, OD
• Monica Rachelle Patin, PA-C
• Perkins County Hospital District (Perkins County Family Clinic)
• Perkins County Hospital District (Perkins County Family Clinic)
• Tara Dawn Perlinger, DPT

• Physician Assistant in Ogallala, NE
• Providers in Ogallala, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.