NPIMap

Individual provider Active NPI

Kassandra M Davis, MD

  • Family Medicine Physician
  • Kearney, NE
National Provider Identifier
1538548243
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29644 Issued in NE
Practice address
PO Box 2290
Kearney, NE 68848
Phone
(308) 865-2767
Fax
(308) 865-2765
NPI assigned
May 27, 2015
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 29644 NE Primary

Addresses

Primary practice location

PO Box 2290
Kearney, NE 68848

Mailing address

PO Box 2290
Kearney, NE 68848
Phone (308) 865-2767

Other names 1

  • Dr. Kassandra M Connell Former name

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
I20170808000238 NE Practitioner - Family Practice 2567778087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Associates P.C.Group PAC ID 0446243950, 15 clinicians

Practice addresses (Care Compare)

620 E 25TH St
Suite 5
Kearney, NE 68847-5511
Phone (308) 865-2767

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29644NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Hospital Kearney Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Bryan Hospital Kearney CurrentSince Jan 1, 2022 Accepting new patients
Good Samaritan Hospital Past Accepting new patients

Locations

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263

Interoperability endpoints

  • Direct secure messaging: kassandraconnell@familyprac.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1538548243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2290",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68848",
            "telephone_number": "308-865-2767",
            "fax_number": "308-865-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 2290",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68848",
            "telephone_number": "308-865-2767",
            "fax_number": "308-865-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KASSANDRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "29644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSANDRA",
            "last_name": "CONNELL",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.