Active NPI
Andria Jean Head, PA-C
- Pediatrics Physician
- Hastings, NE
National Provider Identifier
1326040973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 1317
- Practice address
- 715 N Kansas Ave Ste 204
Hastings, NE 68901-4438 - Phone
- (402) 463-6828
- NPI assigned
- Aug 12, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NE | ||
| Pediatrics Physician | 208000000X | 1317 | NE | Primary |
| Physician Assistant | 363A00000X | 01493 | IA |
Addresses
Primary practice location
715 N Kansas Ave Ste 204
Hastings, NE 68901-4438
Mailing address
715 N Saint Joseph Ave
Hastings, NE 68901-4497
Phone (402) 463-4521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47063717813 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Mary Lanning Memorial Hospital Association
Practice addresses (Care Compare)
2115 N Kansas Ave
103 Central NE Children and Adolescent Clinic
Hastings, NE 68901-2692
Phone (402) 463-6828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hastings Family Practice, P.C | Past | Accepting new patients |
Interoperability endpoints
- andria@caacclinic.directbygreenway.com
- ahead183866@direct.nebraskamed.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Hastings, NE
- NPI 1356383756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1326040973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 N SAINT JOSEPH AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689014497",
"telephone_number": "402-463-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 N KANSAS AVE STE 204",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689014438",
"telephone_number": "402-463-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAD",
"first_name": "ANDRIA",
"middle_name": "JEAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "1317",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "01493",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47063717813",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hastings, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.