NPIMap

Individual provider Active NPI

Kelly A Fields, A.P.R.N.

  • Adult Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1306828181
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
110241 Issued in NE
Practice address
7111 A St Ste 201
Lincoln, NE 68510-4283
Phone
(402) 489-7100
NPI assigned
Nov 16, 2005
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 110241 NE Primary

Addresses

Primary practice location

7111 A St Ste 201
Lincoln, NE 68510-4283

Mailing address

7111 A St Ste 201
Lincoln, NE 68510-4283
Phone (402) 489-7100

Other practice location 1

2221 S 17th St
Suite 303
Lincoln, NE 68502-3713
Phone (402) 476-6626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000856 NE Practitioner - Nurse Practitioner 0840315131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medelite Urgent Care LLCGroup PAC ID 0345696589, 9 clinicians

Practice addresses (Care Compare)

7120 S 69TH St
Suite 101a
Lincoln, NE 68516-3868
Phone (402) 520-8955

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medelite Urgent Care L.L.C. CurrentSince Nov 13, 2023 Accepting new patients
Medelite Urgent Care L.L.C. CurrentSince Nov 13, 2023 Accepting new patients
Bryan Medical Center PastSince Jan 5, 1998 Accepting new patients

Locations

7100 S 69th St
Ste 101
Lincoln, NE 68516
Phone (402) 489-7100

7111 A St
Ste 201
Lincoln, NE 68510
Phone (402) 416-1518

7120 S 69th St
Ste 101A
Lincoln, NE 68516
Phone (402) 499-2883

Interoperability endpoints

  • Direct secure messaging: kelly.fields.1@28242.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1306828181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 A ST STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104283",
            "telephone_number": "402-489-7100",
            "fax_number": "402-489-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 A ST STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104283",
            "telephone_number": "402-489-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 S 17th St",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685023713",
            "country_code": "US",
            "telephone_number": "402-476-6626",
            "fax_number": "402-476-1614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NE",
            "license": "110241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.