Active NPI
Kendra R Piening, APRN
- Nurse Practitioner
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 111058
- Practice address
- 575 S 70TH St
Suite 310
Lincoln, NE 68510-2471 - Phone
- (402) 441-4760
- Fax
- (402) 441-4764
- NPI assigned
- Jul 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 111058 | NE | Primary |
Addresses
Primary practice location
575 S 70TH St
Suite 310
Lincoln, NE 68510-2471
Mailing address
555 S 70TH St
Lincoln, NE 68510-2462
Phone (402) 219-7910
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24207 | Other | NE | BCBS NE |
| 200618250A | Medicaid | KS | |
| P00759832 | Other | NE | RR MEDICARE |
Other names 1
- Kendra R Baughman
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090814000304 | NE | Practitioner - Nurse Practitioner | 9133273832 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Nebraska College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bryan Physician Network
Practice addresses (Care Compare)
1600 S 48TH St
Lincoln, NE 68506-1299
2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111
Hospital & facility affiliations
- Bryan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1847 | NE | MD | Dental Hygienist |
| 111058 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Physician Network | Current | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Current | Accepting new patients |
Locations
2222 S 16th St
Ste 340A
Lincoln, NE 68502
555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
2300 S 16th St
Ste B
Lincoln, NE 68502
7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554
2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042
11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000
Interoperability endpoints
- kpiening177542@hisp.bryanhealth.org
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
- NPI 1083205512
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": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1295966034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102462",
"telephone_number": "402-219-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 S 70TH ST",
"address_2": "SUITE 310",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102471",
"telephone_number": "402-441-4760",
"fax_number": "402-441-4764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIENING",
"first_name": "KENDRA",
"middle_name": "R",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-28",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "111058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NE",
"identifier": "24207",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200618250A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00759832",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KENDRA",
"last_name": "BAUGHMAN",
"middle_name": "R",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.