Individual provider Active NPI

Lindsay Ryann Kvols, DNP

  • Family Nurse Practitioner
  • Wayne, NE
National Provider Identifier
1396317236
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113661 Issued in NE
Practice address
1200 Providence Rd
Wayne, NE 68787-1299
Phone
(402) 375-3800
NPI assigned
Jul 12, 2021
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113661 NE Primary

Addresses

Primary practice location

1200 Providence Rd
Wayne, NE 68787-1299

Mailing address

1200 Providence Rd
Wayne, NE 68787-1299
Phone (402) 375-3800

Other names 1

  • Lindsay Ryann Strong Former name

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
I20210723003248 NE Practitioner - Nurse Practitioner 3678976990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical CenterGroup PAC ID 4587629928, 11 clinicians

Practice addresses (Care Compare)

1200 Providence Rd
Wayne, NE 68787-1212
Phone (402) 375-3800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
113661NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Center CurrentSince Jul 20, 2021 Accepting new patients
Providence Medical Center CurrentSince Jul 20, 2021 Accepting new patients

Locations

1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800

Organizations & group practices 2

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 1

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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1396317236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PROVIDENCE RD",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871299",
            "telephone_number": "402-375-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PROVIDENCE RD",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871299",
            "telephone_number": "402-375-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVOLS",
        "first_name": "LINDSAY",
        "middle_name": "RYANN",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "STRONG",
            "middle_name": "RYANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wayne, NE

Sources for this page

Verify at the official NPI Registry.