Kaelyse Noel Adler, PA-C
Individual provider Active NPI Medical Physician Assistant · Kearney, NE
NPI 1619479698 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1619479698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 2217 (NE)
- Practice address
- 412 W 42ND St
Kearney, NE 68845-2401 - Phone
- (308) 865-2303
- Fax
- (308) 865-2304
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Unmc Physicians
Practice addresses (Care Compare)
2510 Bellevue Medical Ctr Dr
Bellevue, NE 68123-1520
3685 N 129TH St
Unmc Physicians Eagle Run
Omaha, NE 68164-5211
Phone (402) 559-0200
8343 S 168TH Ave
Unmc Physicians Chalco
Omaha, NE 68136-1677
Phone (402) 559-0444
Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015
Hospital & facility affiliations
- The Nebraska Medical Center
- Bellevue Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180316000043 | NE | Practitioner - Physician Assistant | 5496017170 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2217 | NE | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chadron Medical Clinic PC | Past | Accepting new patients | |
| The Nebraska Medical Center | Past | Accepting new patients |
Interoperability endpoints
- kadler365071@direct.nebraskamed.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2217 | NE | Yes |
Addresses
Primary practice location
412 W 42ND St
Kearney, NE 68845-2401
Mailing address
PO Box 431
Chadron, NE 69337-0431
Phone (308) 432-4441
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2217 | Other | NE | NEBRASKA STATE LICENSE (PA-C) |
Other providers in Kearney, NE
- Actual Impact Staffing & Recruitment
- Alyson Paige Adams
- Bryauna Sue Adams
- Brent E Adamson
- Emilie Adamson
- Advanced Bracing and Medical Supplies
- Daniel Agraz
- Bianca Aguilar Ramirez
- Gabriela Aguilar
- Eric Ahrens
All providers in Kearney, NE · Medical Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.