Caitlyn Renee Christiancy

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1315 Tibbals St
Holdrege, NE 68949-1257

Phone

(308) 995-6111

NPI assigned

Oct 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Caitlyn Renee Haussermann Former name

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

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phelps Memorial Health Center 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phelps Memorial Health Center Hospital, Holdrege, NE, CCN 281362

Merit-based Incentive Payment System (MIPS)

Final score

92.2 of 100Reported as group

Quality

88.55

Promoting interoperability

95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Phelps Memorial Health Center

  • Critical Access Hospital
  • Holdrege, NE
  • NPI 1629035936

  NE

  Medicare reassignment Care Compare group NPD
• Phelps Memorial Health Center

  • Certified Registered Nurse Anesthetist
  • Holdrege, NE
  • NPI 1871528851

  NE, Physician Assistant

  Medicare reassignment Care Compare group NPD
• Phelps Memorial Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Holdrege, NE
  • NPI 1588622187
  Care Compare group
• Phelps Memorial Health Center

  • Rural Health Clinic/Center
  • Holdrege, NE
  • NPI 1891189809
  Care Compare group

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

• Phelps Memorial Health Center

  • Critical Access Hospital
  • Holdrege, NE
  • NPI 1629035936

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1346965357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 TIBBALS ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491257",
            "telephone_number": "308-995-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 TIBBALS ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491257",
            "telephone_number": "308-995-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANCY",
        "first_name": "CAITLYN",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "HAUSSERMANN",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Russell Carlston, D.P.M
• Carol Sue Christensen, MS ED, LPC,LMHP, NCC
• Christian Counseling Services
• Christian Homes, Inc.
• Alexis Christian, PT, DPT
• Charles D Christie, P.A.
• City of Holdrege
• Kelsey May Cobb
• Kelly Davis Connot, LMHP, NCC
• Counseling Toward Hope LLC

• All providers in Holdrege, NE
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.