Individual provider Active NPI

Kayla M Heidinger, M.D.

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1639601412
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
69707 Issued in WI
Practice address
7501 S 27TH St Ste 100
Lincoln, NE 68512-4802
Phone
(402) 481-6343
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 69707 WI Primary

Addresses

Primary practice location

7501 S 27TH St Ste 100
Lincoln, NE 68512-4802

Mailing address

PO Box 860876
Minneapolis, MN 55486-0876
Phone (402) 483-8590

Other names 1

  • Kayla M Klepper Former name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201002000657 NE Practitioner - Family Practice 8628326295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

Hospital & facility affiliations

  • Eventide Home Health Care Home health agency, Lincoln, NE, CCN 287002
  • CHI Health at Home - Lincoln Home health agency, Lincoln, NE, CCN 287050
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69707WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Seward Urgent Care Partnership LLC Family Medicine Past Accepting new patients

Locations

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

7501 S 27th St
Lincoln, NE 68512
Phone (402) 481-6300

1500 S 48th St
Ste 412
Lincoln, NE 68506
Phone (402) 476-1640

7501 S 27th St
#100
Lincoln, NE 68512
Phone (402) 481-6313

5901 N 27th St
Ste 101
Lincoln, NE 68521
Phone (402) 481-6343

4333 S 86th St
Ste 101
Lincoln, NE 68526
Phone (402) 481-6343

2731 Healthcare Dr
Syracuse, NE 68446
Phone (402) 269-2011

Interoperability endpoints

  • Direct secure messaging: kheidinger118860@hisp.bryanhealth.org

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Syracuse Area HealthSyracuse, NE, CCN 283470 Rural health clinic W-2 Managing Employee Jul 1, 2023

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 3

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 5

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1639601412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860876",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860876",
            "telephone_number": "402-483-8590",
            "fax_number": "402-483-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 S 27TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685124802",
            "telephone_number": "402-481-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDINGER",
        "first_name": "KAYLA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "69707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "KLEPPER",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.