Individual provider Active NPI

Brynn W Kanne, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1437911005
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3046 Issued in NE
Practice address
13315 W Center Rd Ste 100
Omaha, NE 68144-3449
Phone
(402) 717-9490
Fax
(402) 717-9401
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 124022 IA
Physician Assistant 363A00000X 3046 NE Primary

Addresses

Primary practice location

13315 W Center Rd Ste 100
Omaha, NE 68144-3449

Mailing address

13315 W Center Rd Ste 100
Omaha, NE 68144-3449
Phone (402) 717-9490

Other names 1

  • Brynn W Kanne Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240401002976 IA Practitioner - Physician Assistant 9931547692 Reassigns benefits to 1 organization
I20240401003071 NE Practitioner - Physician Assistant 9931547692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Creighton University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

16101 Evans St
Omaha, NE 68116-6447
Phone (402) 717-9700

1625 N 205TH St
CHI Health Clinic
Elkhorn, NE 68022-4759
Phone (402) 758-5452

16909 Lakeside Hills CT
Omaha, NE 68130-4661

4220 L St
Suite 100
Omaha, NE 68107-1048
Phone (402) 733-4433

5045 S 153Rd St
Omaha, NE 68137-5001
Phone (402) 717-9100

6801 Newport Ave
Omaha, NE 68152-2152
Phone (402) 572-3900

800 Mercy Dr
Council Bluffs, IA 51503-3128

8248 S 96TH St
La Vista, NE 68128-3126
Phone (402) 717-9500

Hospital & facility affiliations

  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3046NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Apr 16, 2024 Accepting new patients
Alegent Creighton Clinic CurrentSince Apr 16, 2024 Accepting new patients
Alegent Creighton Clinic Physician Assistant Past Accepting new patients

Locations

3135 W Broadway
Council Bluffs, IA 51501
Phone (712) 242-2040

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

13315 W Center Rd
Ste 100
Omaha, NE 68144
Phone (402) 717-9400

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

6829 N 72nd St
Ste 3100
Omaha, NE 68122
Phone (402) 391-3870

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1437911005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 W CENTER RD STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443449",
            "telephone_number": "402-717-9490",
            "fax_number": "402-717-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13315 W CENTER RD STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443449",
            "telephone_number": "402-717-9490",
            "fax_number": "402-717-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNE",
        "first_name": "BRYNN",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "124022",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "3046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYNN",
            "last_name": "KANNE",
            "middle_name": "W",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.