NPIMap

Individual provider Active NPI

Kelli Rae Osborn, M.D.

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1487032199
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7387 Issued in NE
Practice address
983075 Nebraska Medical Ctr
Omaha, NE 68198-3075
Phone
(402) 649-1803
NPI assigned
May 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7387 NE Primary

Addresses

Primary practice location

983075 Nebraska Medical Ctr
Omaha, NE 68198-3075

Mailing address

983075 Nebraska Medical Ctr
Omaha, NE 68198-3075
Phone (402) 649-1803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226002023 NE Practitioner - Family Practice 1456690064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Antelope Memorial Hospital 18 clinicians

Practice addresses (Care Compare)

102 W 9TH St
Neligh, NE 68756-1114
Phone (402) 887-4151

PO Box
Suite 229
Neligh, NE 68756-0229

Hospital & facility affiliations

  • Antelope Memorial Hospital Home Health Care Home health agency, Neligh, NE, CCN 287040
  • Antelope Memorial Hospital Hospital, Neligh, NE, CCN 281326
  • Faith Health Hospital, Norfolk, NE, CCN 280125
  • Antelope Memorial Hospital Nursing home, CCN 28Z326
  • Accura Healthcare of Neligh Nursing home, Neligh, NE, CCN 285124

Merit-based Incentive Payment System (MIPS)

Final score
88.09 of 100Reported as group
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7387NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Antelope Memorial Hospital Family Medicine CurrentSince Jan 20, 2019 Accepting new patients
Antelope Memorial Hospital Current Accepting new patients
Antelope Memorial Hospital CurrentSince Jan 20, 2019 Accepting new patients
Antelope Memorial Hospital Family Medicine Past Accepting new patients

Locations

109 W 11th St
Neligh, NE 68756
Phone (402) 887-5440

102 W 9th St
Neligh, NE 68756
Phone (402) 887-4151

Interoperability endpoints

  • Direct secure messaging: kosborn@yourcarecommunity.org
  • Direct secure messaging: kelli.osborn@amh.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Antelope Memorial HospitalNeligh, NE, CCN 281326 Hospital W-2 Managing Employee
Operational/Managerial Control		 Jun 24, 2020
Jun 24, 2020
Antelope Memorial HospitalNeligh, NE, CCN 28Z326 Hospital W-2 Managing Employee
Operational/Managerial Control		 Jun 24, 2020
Jun 24, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1487032199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983075 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681983075",
            "telephone_number": "402-649-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983075 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681983075",
            "telephone_number": "402-649-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "KELLI",
        "middle_name": "RAE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "7387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.