Individual provider Active NPI

Nikki Jo Plummer, AU.D.

  • Audiologist
  • Kearney, NE
National Provider Identifier
1447876271
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
396 Issued in NE
Practice address
615 W 39TH St
Kearney, NE 68845-8045
Phone
(308) 865-2277
Fax
(308) 865-2523
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 396 NE Primary

Addresses

Primary practice location

615 W 39TH St
Kearney, NE 68845-8045

Mailing address

615 W 39TH St
Kearney, NE 68845-8045
Phone (308) 865-2277

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nikki.plummer.1@16359.direct.athenahealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200619000742 NE Practitioner - Qualified Audiologist 4385066331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Physicians of Kearney PCGroup PAC ID 3678551439, 9 clinicians

Practice addresses (Care Compare)

615 W 39TH St
Kearney, NE 68845-8045
Phone (308) 865-2277

Merit-based Incentive Payment System (MIPS)

Final score
76.34 of 100Reported as group
Quality
52.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
396NEMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Physicians of Kearney, P.C. Audiologist CurrentSince Jun 15, 2020 Accepting new patients
Allergy, Asthma & Immunology Associates P.C. PastSince Jun 15, 2020 Accepting new patients

Locations

615 W 39th St
Kearney, NE 68845
Phone (308) 698-2820

Interoperability endpoints

  • Direct secure messaging: nikki.plummer.1@16359.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16359/brand/1/csg/1/fhir/r4

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": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1447876271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458045",
            "telephone_number": "308-865-2277",
            "fax_number": "308-865-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458045",
            "telephone_number": "308-865-2277",
            "fax_number": "308-865-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "NIKKI",
        "middle_name": "JO",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nikki.plummer.1@16359.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "615 W 39th St",
            "city": "Kearney",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688458045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.