Individual provider Active NPI

Kristina Ann Pakiz, M.D.

  • Obstetrics & Gynecology Physician
  • Omaha, NE
National Provider Identifier
1447461645
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25006 Issued in NE
Practice address
6901 Mercy Road
Omaha, NE 68106
Phone
(402) 390-6600
NPI assigned
May 27, 2007
Last updated
Aug 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25006 NE Primary

Addresses

Primary practice location

6901 Mercy Road
Omaha, NE 68106

Mailing address

6901 Mercy Road
Omaha, NE 68106
Phone (402) 390-6600

Other names 1

  • Kristina Ann Garnett 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130121000227 NE Practitioner - Obstetrics/Gynecology 6204913296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Nebraska College of Medicine, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10506 Burt Cir
Suite 130
Omaha, NE 68114-2017
Phone (402) 203-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vivify Womens Health and Fertility LLC CurrentSince Apr 20, 2022 Accepting new patients
Saint Paul VI Institute Physicians PC Obstetrics & Gynecology CurrentSince Apr 13, 2019 Accepting new patients
SSM Health Care St. Louis Obstetrics & Gynecology Past Accepting new patients
SSM Health Care St. Louis Obstetrics & Gynecology Past Accepting new patients

Locations

10506 Burt Cir
Ste 130
Omaha, NE 68114
Phone (402) 203-0288

6901 Mercy Rd
Omaha, NE 68106
Phone (402) 390-6600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1447461645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 MERCY ROAD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68106",
            "telephone_number": "402-390-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MERCY ROAD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68106",
            "telephone_number": "402-390-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKIZ",
        "first_name": "KRISTINA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-27",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "25006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "GARNETT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.