Individual provider Active NPI

Benjamin Collins Nagel, P.A.

  • Physician Assistant
  • Kimball, NE
National Provider Identifier
1295771707
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
688 Issued in NE
Practice address
255 W 4TH St
Kimball, NE 69145-1706
Phone
(308) 235-1966
Fax
(308) 235-2403
NPI assigned
Jun 22, 2006
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 688 NE Primary

Addresses

Primary practice location

255 W 4TH St
Kimball, NE 69145-1706

Mailing address

255 W 4TH St
Kimball, NE 69145-1706
Phone (308) 235-1966

Other identifiers 1

IdentifierTypeStateIssuer
97233OtherMTBCBS

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
I20120307000591 NE Practitioner - Physician Assistant 7214903459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimball County HospitalGroup PAC ID 5799751004, 19 clinicians

Practice addresses (Care Compare)

255 W 4TH St
Kimball, NE 69145-1706
Phone (308) 235-1951

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.47 of 100Reported as group
Quality
53.04
Promoting interoperability
81
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208MTMDMassage Therapist
688NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kimball County Hospital CurrentSince Dec 28, 2025 Accepting new patients
Kimball County Hospital CurrentSince Mar 27, 2017 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

255 W 4th St
Kimball, NE 69145
Phone (308) 235-1951

117 E 4th St
Pine Bluffs, WY 82082
Phone (307) 245-3666

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1295771707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W 4TH ST",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "691451706",
            "telephone_number": "308-235-1966",
            "fax_number": "308-235-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W 4TH ST",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "691451706",
            "telephone_number": "308-235-1966",
            "fax_number": "308-235-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "BENJAMIN",
        "middle_name": "COLLINS",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "97233",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kimball, NE

Sources for this page

Verify at the official NPI Registry.