Individual provider Active NPI

Katrina M Longe, RN, BSN, CRNA

  • Certified Registered Nurse Anesthetist
  • Fremont, NE
National Provider Identifier
1386965515
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101105 Issued in NE
Practice address
450 E 23Rd St
Fremont, NE 68025-2303
Phone
(402) 727-3396
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 60030 NE
Certified Registered Nurse Anesthetist 367500000X 101105 NE Primary

Addresses

Primary practice location

450 E 23Rd St
Fremont, NE 68025-2303

Mailing address

825 S 169TH St FL 3
Omaha, NE 68118-9300
Phone (402) 354-4822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161123001789 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355620865 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Gastrointestinal Associates PCGroup PAC ID 3779575766, 54 clinicians

Practice addresses (Care Compare)

8901 Indian Hills Dr
Suite 100
Omaha, NE 68114-4032
Phone (402) 933-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
60030NEMDRegistered Nurse
101105NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Leighow Anesthesia & Medical Aesthetics LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 20, 2017 Accepting new patients
FRSC Anesthesia LLC CurrentSince Aug 17, 2022 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Memorial Community Hospital Corporation CurrentSince Aug 31, 2020 Accepting new patients
Memorial Community Hospital Corporation CurrentSince Aug 31, 2020 Accepting new patients
Midwest Gastrointestinal Associates PC Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2024 Accepting new patients
Northeast Nebraska Surgery Center LLC CurrentSince Aug 17, 2022 Accepting new patients
Anesthesia West, P.C. Current Accepting new patients
Methodist Fremont Health CurrentSince Sep 15, 2022 Accepting new patients
TTB Services Prof LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Diagnostic & Int Med Assoc PC Past Accepting new patients
Midwest Endoscopy Services LLC PastSince Jul 8, 2024 Accepting new patients

Locations

812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

2701 W Norfolk Ave
Ste 101
Norfolk, NE 68701
Phone (402) 644-7262

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451

8901 Indian Hills Dr
Ste 100
Omaha, NE 68114
Phone (402) 933-1500

11606 Nicholas St
Omaha, NE 68154
Phone (402) 493-2020

9850 Nicholas St
Ste 100
Omaha, NE 68114
Phone (402) 343-1122

8901 Indian Hills Dr
Ste 200
Omaha, NE 68114
Phone (402) 397-7057

17001 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 885-8700

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550

7801 Wakeley Plz
Omaha, NE 68114
Phone (402) 391-4855

4909 S 118th St
Omaha, NE 68137
Phone (402) 397-2010

Interoperability endpoints

  • Direct secure messaging: katrina.longe@direct.nmhs.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1386965515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S 169TH ST FL 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681189300",
            "telephone_number": "402-354-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252303",
            "telephone_number": "402-727-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGE",
        "first_name": "KATRINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "60030",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.