Active NPI
Kristi Witcher, MD
- Emergency Medicine Physician
- Papillion, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 21339
- Practice address
- 11111 S 84TH St
Papillion, NE 68046-4122 - Phone
- (402) 593-3550
- NPI assigned
- Oct 12, 2006
- Last updated
- Apr 1, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21339 | NE | Primary |
Addresses
Primary practice location
11111 S 84TH St
Papillion, NE 68046-4122
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100249951-00 | Medicaid | NE | |
| 32271 | Other | NE | BCBS |
| 253086 | Other | NE | MLDCH & MUTUAL OF OMAHA |
| 0764712 | Medicaid | IA | |
| 39-02336 | Other | SHARE ADVANTAGE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Arizona College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-9889
124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 365-0651
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Montgomery PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Group | Emergency Medicine | Current | Accepting new patients |
| Louisiana Em-1 Medical Services, PC | Past | Accepting new patients | |
| Texas Trail Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
Interoperability endpoints
- kristi.witcher@direct.baptistfirst.org
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.
-
- Emergency Medicine Physician
- Huntsville, AL
- NPI 1659366649
-
- Emergency Medicine Physician
- Prattville, AL
- NPI 1528310323
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
-
- Nurse Practitioner
- Shreveport, LA
- NPI 1265688667
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1902052301
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1417046079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136",
"fax_number": "937-619-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 S 84TH ST",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464122",
"telephone_number": "402-593-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITCHER",
"first_name": "KRISTI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "21339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100249951-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "32271",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MLDCH & MUTUAL OF OMAHA",
"identifier": "253086",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0764712",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHARE ADVANTAGE",
"identifier": "39-02336",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.