Kelli Christine Ossenkop, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

NE809 Issued in NE

Practice address

2900 S 70TH St
Ste 310
Lincoln, NE 68506-3688

Phone

(402) 434-5235

Fax

(402) 484-8891

NPI assigned

Sep 15, 2005

Last updated

May 27, 2020By 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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health and Wellness Center, P.C.Group PAC ID 5698066686, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
• CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
• Madonna Rehabilitation Hospital Lincoln Inpatient rehabilitation facility, Lincoln, NE, CCN 283025

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kkodad@fhwc.gwaydirect.com

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.

• Family Health & Wellness Center, P.C.

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1881049526
  Medicare reassignment Care Compare group
• Women's Clinic of Lincoln, P.C

  dba Family Health Care Center

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1518995455
  NPD (past)

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

• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  Care Compare affiliation
• Bryan Medical Center

  dba Bryan Medical Center Laboratory

  • Clinical Medical Laboratory
  • Lincoln, NE
  • NPI 1689203077

  Hospital

  Care Compare affiliation
• Bryan Medical Center

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1699384370

  Hospital

  Care Compare affiliation
• Madonna Rehabilitation Hospital

  dba Madonna Rehabilitation Hospital Lincoln

  • Rehabilitation Hospital
  • Lincoln, NE
  • NPI 1558458091

  Inpatient rehabilitation facility

  Care Compare affiliation
• Saint Elizabeth Regional Medical Center

  dba CHI Health St. Elizabeth

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1336155738
  Care Compare affiliation

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1275528200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 S 27TH ST",
            "address_2": "STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685124872",
            "telephone_number": "402-434-5235",
            "fax_number": "402-489-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S 70TH ST",
            "address_2": "STE 310",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063688",
            "telephone_number": "402-434-5235",
            "fax_number": "402-484-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSENKOP",
        "first_name": "KELLI",
        "middle_name": "CHRISTINE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "NE809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055126013",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamed Osman
• Niema Osman
• Desmond Osorio
• Patricia Osorio, PLMHP
• Owen Osowski, D.C.
• Mandy Ossenkop
• Ikhlas Osso
• Sairan Omar Osso
• Seth Richard Ostdiek, MD
• Lisa Ostendorf, NURSE PRACTITIONER

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.