Richard Akromis, PA-C
Individual provider Active NPI Physician Assistant · Oberlin, KS
NPI 1649700295 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1649700295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 15-01991 (KS)
- Practice address
- 810 W Columbia St
Oberlin, KS 67749-2450 - Phone
- (785) 475-2208
- NPI assigned
- Jun 15, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alegent Creighton Clinic
Practice addresses (Care Compare)
16909 Lakeside Hills CT
Omaha, NE 68130-4661
4220 L St
Suite 100
Omaha, NE 68107-1048
Phone (402) 733-4433
8141 W Ctr
Omaha, NE 68124-3273
Phone (402) 717-3000
Hospital & facility affiliations
- CHI Health Bergan Mercy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, 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 |
|---|---|---|---|---|
| I20191011000907 | IA | Practitioner - Physician Assistant | 0648549105 | Reassigns benefits to 1 organization |
| I20191011001070 | NE | Practitioner - Physician Assistant | 0648549105 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2120 | NE | MD | Chiropractor |
| 087170 | IA | MD | Physician Assistant |
| 15-01991 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Current |
Accepting new patients | |
| Alegent Creighton Clinic | Current |
Accepting new patients | |
| Alegent Creighton Clinic | Physician Assistant | Past | Accepting new patients |
Locations
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
2771 Solution Ctr
Chicago, IL 60677
16101 Evans St
Omaha, NE 68116
Phone (402) 717-9700
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
5045 S 153rd St
Omaha, NE 68137
Phone (402) 717-9100
4220 L St
Ste 100
Omaha, NE 68107
Phone (402) 733-4433
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2120 | NE | |
| Physician Assistant | 363A00000X | 087170 | IA | |
| Physician Assistant | 363A00000X | 15-01991 | KS | Yes |
Addresses
Primary practice location
810 W Columbia St
Oberlin, KS 67749-2450
Mailing address
PO Box 268
Oberlin, KS 67749-0268
Phone (785) 475-2208
Other practice location 1
16101 Evans St
Omaha, NE 68116-6447
Phone (402) 717-9797
Other practice location 2
1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone (712) 328-8800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087170 | Other | IA | STATE OF IOWA BOARD OF PHYSICIAN ASSISTANTS |
| 15-01991 | Other | KS | KANSAS STATE BOARD OF HEALING ARTS |
| 2120 | Other | NE | STATE OF NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES |
Other providers in Oberlin, KS
- Shannon R Addleman
- Stelian N. Andreca
- Applied Computer Technology Inc
- Gary M Bartels
- Andrea Burmaster
- Cedar Living Center
All providers in Oberlin, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. 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.