Kachine Marie Banahan, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

115420 Issued in NE

Practice address

609 O St
Aurora, NE 68818-1100

Phone

(402) 694-3191

NPI assigned

Jun 15, 2024

Last updated

Jun 15, 2024By 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 2

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

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Community Health IncGroup PAC ID 1355394040, shared by 5 NPIs, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Aurora, NE, CCN 281320
• York General Health Care Services Hospital, York, NE, CCN 281336

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/a4c7307b-5132-41db-ae59-8b3c5b480948/

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.

• Memorial Community Health, Inc

  dba Memorial Hospital

  • Critical Access Hospital
  • Aurora, NE
  • NPI 1063429694
  Medicare reassignment NPD
• Memorial Community Health, Inc

  dba Memorial Health Clinic

  • Family Medicine Physician
  • Aurora, NE
  • NPI 1881603850
  Medicare reassignment NPD
• Memorial Community Health Inc

  dba Memorial Health Clinic Aurora (RHC)

  • Rural Health Clinic/Center
  • Aurora, NE
  • NPI 1083326193
  NPD

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

• Memorial Community Health, Inc

  dba Memorial Hospital

  • Critical Access Hospital
  • Aurora, NE
  • NPI 1063429694
  Care Compare affiliation
• York General Hospital

  • Critical Access Hospital
  • York, NE
  • NPI 1588764898
  Care Compare affiliation

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

{
    "created_epoch": "1718409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1306689518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 7TH ST",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688181141",
            "telephone_number": "402-694-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 O ST",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688181100",
            "telephone_number": "402-694-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAHAN",
        "first_name": "KACHINE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-06-15",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115420",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "89252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Arnett Nickolaus, MAC LIMHP CIMHP
• Timothy L Arthur, CRNA
• Aurora Advanced Chiropractic Center
• Aurora Public School
• Balanced Vision, LLC
• Bradley David Bangs, PT
• Blue Darner Healthcare LLC (Westfield Quality Care of Aurora)
• Lorri Ann Brown
• Michelle Bullerman, RN
• Kesean Rae Bundy, DDS

• Nurse Practitioner in Aurora, NE
• Providers in Aurora, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; 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.