Individual provider Active NPI

Kacindra Jo Kopf, APRN

  • Nurse Practitioner
  • O'Neill, NE
National Provider Identifier
1477991784
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111504 Issued in NE
Practice address
108 N 3Rd St
Oneill, NE 68763-1510
Phone
(402) 560-7472
NPI assigned
Jun 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111504 NE Primary

Addresses

Primary practice location

108 N 3Rd St
Oneill, NE 68763-1510

Mailing address

108 N 3Rd St
Oneill, NE 68763-1510
Phone (402) 560-7472

Other names 1

  • Kacindra Jo Olberding Former name

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
I20130718000373 NE Practitioner - Nurse Practitioner 8224278171 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
111504NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elkhorn Valley Family Medicine, PC CurrentSince Apr 16, 2020 Accepting new patients

Locations

304 E Douglas St
Oneill, NE 68763
Phone (402) 336-4222

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1477991784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N 3RD ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631510",
            "telephone_number": "402-560-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N 3RD ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631510",
            "telephone_number": "402-560-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPF",
        "first_name": "KACINDRA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-08",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACINDRA",
            "last_name": "OLBERDING",
            "middle_name": "JO",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in O'Neill, NE

Sources for this page

Verify at the official NPI Registry.