Individual provider Active NPI

Kyle N Craw, OD

  • Optometrist
  • Kearney, NE
National Provider Identifier
1447877733
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1514 Issued in NE
Practice address
411 W 39TH St
Kearney, NE 68845-2805
Phone
(308) 865-2760
Fax
(308) 865-2769
NPI assigned
Jul 2, 2020
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1514 NE Primary

Addresses

Primary practice location

411 W 39TH St
Kearney, NE 68845-2805

Mailing address

411 W 39TH St
Kearney, NE 68845-2805
Phone (308) 865-2760

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcraw@kei.medinformatixdirect.com Health Information Exchange (HIE)

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200714000330 NE Practitioner - Optometry 9830512565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Kincaid and FettGroup PAC ID 6305736000, 4 clinicians

Practice addresses (Care Compare)

1000 W 29TH St
Suite 302
S Sioux City, NE 68776-3853
Phone (402) 494-5533

Merit-based Incentive Payment System (MIPS)

Final score
76.89 of 100Reported as group
Quality
83.59
Improvement activities
40
Cost
44.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Kincaid and Fett Optometrist CurrentSince Oct 1, 2024 Accepting new patients

Locations

1000 W 29th St
Ste 302
South Sioux City, NE 68776
Phone (402) 494-5533

Interoperability endpoints

  • Direct secure messaging: kcraw@kei.medinformatixdirect.com

Organizations & group practices 1

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1447877733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452805",
            "telephone_number": "308-865-2760",
            "fax_number": "308-865-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452805",
            "telephone_number": "308-865-2760",
            "fax_number": "308-865-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAW",
        "first_name": "KYLE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcraw@kei.medinformatixdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "records",
            "address_1": "411 W 39th St",
            "city": "Kearney",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688452805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.