Keri A Kendall, PA-C
Individual provider Active NPI Physician Assistant · Beatrice, NE
NPI 1376585364 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1376585364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1270 (NE)
- Practice address
- 4800 Hospital Pkwy
Beatrice, NE 68310-6906 - Phone
- (402) 228-3344
- Fax
- (402) 228-6572
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beatrice Community Hospital and Health Center Inc
Practice addresses (Care Compare)
PO Box
Beatrice, NE 68310-0278
Hospital & facility affiliations
- Good Samaritan Society Home Care of Southeast NE
- Beatrice Community Hospital & Health Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061026000582 | NE | Practitioner - Physician Assistant | 4385629757 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beatrice Community Hospital & Health Center Inc | Physician Assistant | Current |
Accepting new patients |
| T L Sprague DO PC | Past | Accepting new patients | |
| Beatrice Community Hospital & Health Center Inc | Past | Accepting new patients |
Locations
4800 Hospital Pkwy
Beatrice, NE 68310
Phone (402) 228-3344
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1270 | NE | Yes |
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
Other providers in Beatrice, NE
- Joy Therapeutic Services LLC
- Michelle Jurgens
- Delorise Kearns
- Savannah Kelley
- Cindy Kempf
- Tana L. Kenley
- Shanna Keuten
- Jamie Kezeor
- Shannyn Kiehn
- Cheryl Kisling
All providers in Beatrice, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.