Individual provider Active NPI

Kate A Hall, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1477074169
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2298 Issued in NE
Practice address
16909 Lakeside Hills CT
Omaha, NE 68130-4664
Phone
(402) 717-0820
Fax
(402) 717-6061
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 2298 NE Primary

Addresses

Primary practice location

16909 Lakeside Hills CT
Omaha, NE 68130-4664

Mailing address

16909 Lakeside Hills CT Ste 208
Omaha, NE 68130-4663
Phone (402) 717-0820

Other names 1

  • Kate A Rentscher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171009002690 SD Practitioner - Physician Assistant 3173898624 Reassigns benefits to 1 organization
I20190111002182 NE Practitioner - Physician Assistant 3173898624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

16101 Evans St
Omaha, NE 68116-6447
Phone (402) 717-9700

16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (855) 524-4001

16909 Lakeside Hills CT
Omaha, NE 68130-4661

6829 N 72ND St
Suite 7500
Omaha, NE 68122-1733
Phone (402) 717-6870

6901 N 72ND St
Omaha, NE 68122-1709

Hospital & facility affiliations

  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2298NEMDMental Health Counselor
1091SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center CurrentSince Oct 8, 2017 Accepting new patients
Alegent Creighton Clinic CurrentSince Feb 1, 2019 Accepting new patients
Sanford Medical Center Physician Assistant CurrentSince Oct 8, 2017 Accepting new patients
Alegent Creighton Clinic Physician Assistant Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

16909 Lakeside Hills Ct
Ste 208
Omaha, NE 68130
Phone (402) 717-0820

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

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 4

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1477074169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 LAKESIDE HILLS CT STE 208",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304663",
            "telephone_number": "402-717-0820",
            "fax_number": "402-717-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16909 LAKESIDE HILLS CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304664",
            "telephone_number": "402-717-0820",
            "fax_number": "402-717-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KATE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "RENTSCHER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.