Individual provider Active NPI

Keri A Kendall, PA-C

  • Physician Assistant
  • Beatrice, NE
National Provider Identifier
1376585364
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1270 Issued in NE
Practice address
4800 Hospital Pkwy
Beatrice, NE 68310-6906
Phone
(402) 228-3344
Fax
(402) 228-6572
NPI assigned
Jun 12, 2006
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1270 NE Primary

Addresses

Primary practice location

4800 Hospital Pkwy
Beatrice, NE 68310-6906

Mailing address

PO Box 278
Beatrice, NE 68310-0278
Phone (402) 228-3344

Other practice location 1

1840 F St
Geneva, NE 68361-2211
Phone (402) 759-4485

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061026000582 NE Practitioner - Physician Assistant 4385629757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

PO Box
Beatrice, NE 68310-0278

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001372IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beatrice Community Hospital & Health Center Inc Physician Assistant CurrentSince Aug 1, 2017 Accepting new patients
Beatrice Community Hospital & Health Center Inc Past Accepting new patients
T L Sprague DO PC Past Accepting new patients

Locations

4800 Hospital Pkwy
Beatrice, NE 68310
Phone (402) 228-3344

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 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1376585364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683100278",
            "telephone_number": "402-228-3344",
            "fax_number": "402-228-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 HOSPITAL PKWY",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683106906",
            "telephone_number": "402-228-3344",
            "fax_number": "402-228-6572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 F St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NE",
            "postal_code": "683612211",
            "country_code": "US",
            "telephone_number": "402-759-4485",
            "fax_number": "402-759-4487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "KERI",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beatrice, NE

Sources for this page

Verify at the official NPI Registry.