NPIMap

Individual provider Active NPI

Sean R. Kohl, MD

  • Family Medicine Physician
  • Albion, NE
National Provider Identifier
1629068325
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NE22341 Issued in NE
Practice address
1019 S 8TH St
Boone County Health Center
Albion, NE 68620-1760
Phone
(402) 395-5013
Fax
(402) 395-2327
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22341 NE
Family Medicine Physician 207Q00000X 19365 NE
Family Medicine Physician 207Q00000X NE22341 NE Primary

Addresses

Primary practice location

1019 S 8TH St
Boone County Health Center
Albion, NE 68620-1760

Mailing address

PO Box 350
Boone County Health Center
Albion, NE 68620-0350
Phone (402) 395-5013

Other identifiers 2

IdentifierTypeStateIssuer
242156OtherNEMIDLANDS CHOICE
04360OtherNEBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address seankohl@boonecohealth.cernerdirect.com

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
I20041007000167 NE Practitioner - Family Practice 5395704159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone County Health CenterGroup PAC ID 1254306178, 19 clinicians

Practice addresses (Care Compare)

723 W Fairview St
Albion, NE 68620-1767
Phone (402) 395-2191

Hospital & facility affiliations

  • Boone County Health Center Home Health Home health agency, Albion, NE, CCN 287056
  • Aseracare Hospice Hospice, York, NE, CCN 281544
  • Aseracare Hospice Hospice, Norfolk, NE, CCN 281538
  • St. Croix Hospice Hospice, Omaha, NE, CCN 281548
  • Boone County Health Center Hospital, Albion, NE, CCN 281334
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Faith Health Hospital, Norfolk, NE, CCN 280125
  • Accura Healthcare of Fullerton Nursing home, Fullerton, NE, CCN 285115
  • Good Samaritan Society - Albion Nursing home, Albion, NE, CCN 285197
  • Cloverlodge Care Center Nursing home, St Edward, NE, CCN 285201
  • Boone County Health Center Nursing home, CCN 28Z334

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19365NEMDFamily Medicine Physician
22341NEMDFamily Medicine Physician
NE22341NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boone County Health Center Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Boone County Health Center Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Boone County Health Center Current Accepting new patients
Accura Healthcare of Fullerton, LLC Past Accepting new patients
Boone County Health Center Past Accepting new patients
Arbor Care Centers - Fullerton LLC Past Accepting new patients

Locations

1019 S 8th St
Albion, NE 68620
Phone (402) 395-5013

723 W Fairview St
Albion, NE 68620
Phone (402) 385-3149

1173 S 8th St
Albion, NE 68620
Phone (402) 395-5013

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Accura Healthcare of FullertonFullerton, NE, CCN 285115 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
May 1, 2025
Accura Healthcare of O'NeillOneill, NE, CCN 285108 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
May 1, 2025
Nance County Medical ClinicFullerton, NE, CCN 283458 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Apr 1, 2014
Apr 1, 2014

Owned or controlled facilities with NPI records 3

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

Organizations & group practices 11

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 11

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1629068325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "address_2": "BOONE COUNTY HEALTH CENTER",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686200350",
            "telephone_number": "402-395-5013",
            "fax_number": "402-395-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 S 8TH ST",
            "address_2": "BOONE COUNTY HEALTH CENTER",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686201760",
            "telephone_number": "402-395-5013",
            "fax_number": "402-395-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHL",
        "first_name": "SEAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22341",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19365",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "NE22341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "242156",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04360",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seankohl@boonecohealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1019 S 8th St",
            "address_2": "BOONE COUNTY HEALTH CENTER",
            "city": "Albion",
            "state": "NE",
            "country_code": "US",
            "postal_code": "686201760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albion, NE

Sources for this page

Verify at the official NPI Registry.