Individual provider Active NPI

Mark Anton Kripal, MS CCCA

  • Audiologist
  • North Platte, NE
National Provider Identifier
1427149806
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
166 Issued in NE
Practice address
801 William St
North Platte, NE 69101
Phone
(308) 532-3330
Fax
(308) 532-6354
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 166 NE Primary
Audiologist-Hearing Aid Fitter 237600000X 639 NE

Addresses

Primary practice location

801 William St
North Platte, NE 69101

Mailing address

Box 795
North Platte, NE 69101-0795
Phone (308) 532-3330

Other identifiers 3

IdentifierTypeStateIssuer
10025-1338-00MedicaidNE
36804OtherB/C
10025-1241-00MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050207000203 NE Practitioner - Qualified Audiologist 2163498429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 William Ave
North Platte, NE 69101-6556
Phone (308) 532-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
639NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Kripal Hearing & Audiology LLC Audiologist CurrentSince Jul 1, 2004 Accepting new patients
Ear, Nose, Throat & Sinus Clinic, LLC Past Accepting new patients

Locations

801 William Ave
North Platte, NE 69101
Phone (308) 532-3330

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1427149806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 795",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010795",
            "telephone_number": "308-532-3330",
            "fax_number": "308-532-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WILLIAM ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "69101",
            "telephone_number": "308-532-3330",
            "fax_number": "308-532-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIPAL",
        "first_name": "MARK",
        "middle_name": "ANTON",
        "name_prefix": "Mr.",
        "credential": "MS CCCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "166",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NE",
            "license": "639",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025-1338-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C",
            "identifier": "36804",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025-1241-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.