Individual provider Active NPI

Kamille Marie Skrdla, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1457845786
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112491 Issued in NE
Practice address
1240 Aries Dr
Lincoln, NE 68512-9100
Phone
(402) 420-1300
NPI assigned
Jun 20, 2018
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112491 NE Primary

Addresses

Primary practice location

1240 Aries Dr
Lincoln, NE 68512-9100

Mailing address

5251 S 52ND St
Lincoln, NE 68516-1808
Phone (402) 657-2243

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180911001111 NE Practitioner - Nurse Practitioner 1153671292 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

7001 A St
Suite 210
Lincoln, NE 68510-4205
Phone (402) 484-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jun 30, 2022 Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince Oct 30, 2022 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

729 N Custer Ave
Grand Island, NE 68803
Phone (308) 382-9266

7001 A St
Ste 210
Lincoln, NE 68510
Phone (402) 484-5500

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

1240 Aries Dr
Lincoln, NE 68512
Phone (402) 420-1300

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

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.

Hospital & facility affiliations 3

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1457845786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 S 52ND ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161808",
            "telephone_number": "402-657-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 ARIES DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129100",
            "telephone_number": "402-420-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRDLA",
        "first_name": "KAMILLE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.