Active NPI
Kathryn Anna Palu, PA
- Physician Assistant
- Lincoln, NE
National Provider Identifier
1477147494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2573
- Practice address
- 3901 Pine Lake Rd Ste 335
Lincoln, NE 68516-5497 - Phone
- (402) 483-3730
- NPI assigned
- Feb 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2573 | NE | Primary |
Addresses
Primary practice location
3901 Pine Lake Rd Ste 335
Lincoln, NE 68516-5497
Mailing address
3901 Pine Lake Rd Ste 335
Lincoln, NE 68516-5497
Phone (402) 483-3730
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S 48TH St
Lincoln, NE 68506-1299
2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111
3901 Pine Lake Rd
Suite 335
Lincoln, NE 68516-5497
Phone (402) 483-3700
Hospital & facility affiliations
- Bryan Medical Center
- Beatrice Community Hospital & Health Center, Inc
- York General Health Care Services
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- kathrynpalu@cmfp.allscriptsdirect.net
- kpalu125931@hisp.bryanhealth.org
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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1679528798
-
- Primary Care Clinic/Center
- Lincoln, NE
- NPI 1205264231
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Beatrice, NE
- NPI 1184642894
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
- Critical Access Hospital
- York, NE
- NPI 1588764898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1477147494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 PINE LAKE RD STE 335",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165497",
"telephone_number": "402-483-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 PINE LAKE RD STE 335",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165497",
"telephone_number": "402-483-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALU",
"first_name": "KATHRYN",
"middle_name": "ANNA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "2573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.