Jonathan Dean Gotschall, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

87736 N Tuller St
Atkinson, NE 68713-4900

Phone

(402) 340-5623

NPI assigned

May 29, 2016

Last updated

Oct 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Holt Memorial HospitalGroup PAC ID 2264419878, shared by 4 NPIs, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera at Home Dba Avera@Home Home health agency, O' Neill, NE, CCN 287071
• West Holt Memorial Hospital Hospital, Atkinson, NE, CCN 281343

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.

• West Holt Memorial Hospital

  dba West Holt Medical Clinic

  • General Practice Physician
  • Atkinson, NE
  • NPI 1366492472
  Medicare reassignment NPD
• West Holt Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Atkinson, NE
  • NPI 1922173061
  Medicare reassignment NPD
• West Holt Memorial Hospital

  • Critical Access Hospital
  • Atkinson, NE
  • NPI 1295785442
  Medicare reassignment
• West Holt Memorial Hospital

  dba West Holt Pharmacy

  • Community/Retail Pharmacy
  • Atkinson, NE
  • NPI 1811913767
  NPD

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

• Avera at Home

  dba Avera@Home

  • Home Health Agency
  • O'Neill, NE
  • NPI 1811931538
  Care Compare affiliation
• West Holt Memorial Hospital

  • Critical Access Hospital
  • Atkinson, NE
  • NPI 1295785442
  Care Compare affiliation

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

{
    "created_epoch": "1464480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1285082461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87736 N TULLER ST",
            "city": "ATKINSON",
            "state": "NE",
            "postal_code": "687134900",
            "telephone_number": "402-340-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87736 N TULLER ST",
            "city": "ATKINSON",
            "state": "NE",
            "postal_code": "687134900",
            "telephone_number": "402-340-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTSCHALL",
        "first_name": "JONATHAN",
        "middle_name": "DEAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-29",
        "last_updated": "2023-10-18",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta K Daniels, PA
• April J Dexter, APRN/NP-C
• Diane M Alden
• Michelle Rae Fredrick, PT
• Good Life Counseling & Support LLC
• Greater Sandhills Family Healthcare, PC
• Kenzie Hedlund
• Ashley Rose Hoffman
• Brianna Nicole Hoffman, PHARM.D.
• Holloway Health, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.