Active NPI
Kelly Hoover, PA-C
- Physician Assistant
- Omaha, NE
National Provider Identifier
1366809923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1976
- Practice address
- 825 N 90TH St
Omaha, NE 68114-2702 - Phone
- (402) 932-2248
- NPI assigned
- Jan 26, 2016
- Last updated
- Sep 3, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1976 | NE | Primary |
| Medical Physician Assistant | 363AM0700X | 1976 | NE |
Addresses
Primary practice location
825 N 90TH St
Omaha, NE 68114-2702
Mailing address
2808 N 75TH St
Omaha, NE 68134-6861
Phone (402) 932-2248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Nebraska College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13917 Gold Cir
Omaha, NE 68144-2359
Phone (402) 991-9630
29 S Main St
Council Bluffs, IA 51503-9070
Phone (712) 524-1888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1976 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omaha Insomnia and Psychiatric Services, LLC | Current | Accepting new patients | |
| Ven Mental Health and TMS Clinic LLC | Physician Assistant | Past | Accepting new patients |
| Cord Where Science Meets Connection LLC | Past | Accepting new patients |
Locations
13917 Gold Cir
Omaha, NE 68144
Phone (402) 991-9630
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Omaha, NE
- NPI 1477922318
-
- Psychiatry Physician
- Council Bluffs, IA
- NPI 1306526116
-
- Psychiatry Physician
- Sioux City, IA
- NPI 1598783490
-
- Mental Health Counselor
- Omaha, NE
- NPI 1558995662
-
- Psychiatry Physician
- Dakota Dunes, SD
- NPI 1467341628
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1366809923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 N 75TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681346861",
"telephone_number": "402-932-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N 90TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142702",
"telephone_number": "402-932-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "KELLY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-26",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "1976",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "1976",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.