Individual provider Active NPI

Philip M Vornhagen, CRNA

  • Certified Registered Nurse Anesthetist
  • Kearney, NE
National Provider Identifier
1497504153
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101842 Issued in NE
Practice address
10 E 31St St
Kearney, NE 68847-2908
Phone
(308) 865-7100
NPI assigned
May 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 101842 NE Primary

Addresses

Primary practice location

10 E 31St St
Kearney, NE 68847-2908

Mailing address

PO Box 1771
Kearney, NE 68848-1771
Phone (308) 236-5506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523002647 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587006416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kearney Anesthesia Associates PCGroup PAC ID 9335132141, 18 clinicians

Practice addresses (Care Compare)

10 E 31St St
CHI Good Samaritan Hospital
Kearney, NE 68847-2908
Phone (308) 865-7100

Hospital & facility affiliations

  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
  • Rock County Hospital Hospital, Bassett, NE, CCN 281333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101842NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock County Hospital Current Accepting new patients
Kearney Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients

Locations

102 E South St
Bassett, NE 68714
Phone (402) 684-2906

10 E 31st St
#H
Kearney, NE 68847
Phone (308) 865-7100

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

3515 30th Ave
Kearney, NE 68845
Phone (308) 865-2670

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.

Hospital & facility affiliations 3

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": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1497504153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1771",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688481771",
            "telephone_number": "308-236-5506",
            "fax_number": "308-236-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 31ST ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472908",
            "telephone_number": "308-865-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORNHAGEN",
        "first_name": "PHILIP",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.