Kristina M McCutchen, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1525 Issued in NE

Practice address

13340 California St Ste 201
Omaha, NE 68154-5255

Phone

(402) 614-1999

Fax

(402) 934-8119

NPI assigned

Oct 26, 2007

Last updated

Nov 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristina M Ricketts Former name

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain Centers of the Midlands LLCGroup PAC ID 1658680020, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kristina.mccutchen.1@12153.direct.athenahealth.com

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.

• Pain Centers of the Midlands LLC

  dba Omaha Pain Physicians

  • Pain Medicine (Anesthesiology) Physician
  • Omaha, NE
  • NPI 1750759361
  Medicare reassignment Care Compare group
• Neurology Consultants of Nebraska PC

  • Neurology Physician
  • Omaha, NE
  • NPI 1811941073
  NPD (past)
• Dr Glenn J Bricken & Assoc P C

  dba Bricken and Associates

  • Clinical Psychologist
  • The Woodlands, TX
  • NPI 1528088077
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1588843544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13340 CALIFORNIA ST STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545255",
            "telephone_number": "402-614-1999",
            "fax_number": "402-934-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 CALIFORNIA ST STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545255",
            "telephone_number": "402-614-1999",
            "fax_number": "402-934-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEN",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "RICKETTS",
            "middle_name": "M",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber K McCurdy, APRN
• Naomi McCurdy, LMHP, MS
• Jaimarie McCurry
• Lakia L McCurry
• Nicole McCutchan
• Diana McDanal
• Chloe Grace McDaniel, PHARMD
• Heather Nicole McDaniel, CRNA
• Katie McDaniel
• Kyaire McDaniel

• Physician Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.

Verify at the official NPI Registry.