Individual provider Active NPI

Kassidy Jean Jelinek

  • Medical Physician Assistant
  • Atkinson, NE
National Provider Identifier
1275267205
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
406 N Belle St
Atkinson, NE 68713-4553
Phone
(402) 340-8355
NPI assigned
Jul 14, 2022
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

406 N Belle St
Atkinson, NE 68713-4553

Mailing address

406 N Belle St
Atkinson, NE 68713-4553

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
I20250107003832 NE Practitioner - Physician Assistant 5395273114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fillmore County Medical Center PCGroup PAC ID 4688638471, 7 clinicians
Hastings Convenient Care PCGroup PAC ID 8729119011, 9 clinicians

Practice addresses (Care Compare)

1840 F St
Geneva, NE 68361-2211

1840 F St PO Box
Suite 268
Geneva, NE 68361-2211

208 S Burlington Ave
Suite 108
Hastings, NE 68901-5943
Phone (402) 463-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3060NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fillmore County Hospital Past Accepting new patients
Fillmore County Medical Center P.C. PastSince Nov 1, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kassidy.jelinek.1@26385.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1275267205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N BELLE ST",
            "city": "ATKINSON",
            "state": "NE",
            "postal_code": "687134553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N BELLE ST",
            "city": "ATKINSON",
            "state": "NE",
            "postal_code": "687134553",
            "telephone_number": "402-340-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELINEK",
        "first_name": "KASSIDY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atkinson, NE

Sources for this page

Verify at the official NPI Registry.