Individual provider Active NPI

Steven A Rolls, PA-C

  • Physician Assistant
  • Sidney, NE
National Provider Identifier
1467488726
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
705 Issued in NE
Practice address
1000 Pole Creek Xing
Sidney, NE 69162
Phone
(308) 254-5544
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 705 NE Primary

Addresses

Primary practice location

1000 Pole Creek Xing
Sidney, NE 69162

Mailing address

1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (308) 254-5544

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
I20050907000122 NE Practitioner - Physician Assistant 9133151582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheyenne County Hospital Association IncGroup PAC ID 1658345657, 48 clinicians

Practice addresses (Care Compare)

1000 Pole Creek Xing
Sidney, NE 69162-2900

1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (308) 254-5825

610 Glover Rd
Suite 3
Sidney, NE 69162-3050
Phone (308) 254-8736

Hospital & facility affiliations

  • Northeast Plains Home Health Care LLC Home health agency, Sterling, CO, CCN 067460
  • Morrill County Comm. Hosp. Home Health Agency Home health agency, Bridgeport, NE, CCN 287061
  • Sidney Regional Medical Center Hospital, Sidney, NE, CCN 281357
  • Box Butte General Hospital Hospital, Alliance, NE, CCN 281360
  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
705NEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne County Hospital Association CurrentSince Jun 1, 2018 Accepting new patients
Alliance Family Medicine LLC PastSince Sep 25, 2019 Accepting new patients
Alliance Family Medicine LLC PastSince Sep 1, 2007 Accepting new patients

Locations

1000 Pole Creek Xing
Ste 1
Sidney, NE 69162
Phone (308) 254-5544

645 Osage St
Sidney, NE 69162
Phone (308) 254-5825

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1467488726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622901",
            "telephone_number": "308-254-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "69162",
            "telephone_number": "308-254-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLS",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, NE

Sources for this page

Verify at the official NPI Registry.