NPIMap

Individual provider Active NPI

Kathryn Griess

  • Physician Assistant
  • Tecumseh, NE
National Provider Identifier
1659792968
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
202 High St Ste 100
Tecumseh, NE 68450-2443
Phone
(402) 335-2811
Fax
(402) 335-2826
NPI assigned
Jan 5, 2014
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

202 High St Ste 100
Tecumseh, NE 68450-2443

Mailing address

PO Box 583
Tecumseh, NE 68450-0583
Phone (402) 335-2811

Other practice location 1

620 Main St Ste A
Adams, NE 68301-8277
Phone (402) 988-2188

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JohnsonCountyHospital@jchosp.cernerdirect.com Direct

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
I20140306001169 NE Practitioner - Physician Assistant 6406086792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson County HospitalGroup PAC ID 4688583644, shared by 7 NPIs, 14 clinicians

Practice addresses (Care Compare)

202 High St
Tecumseh, NE 68450-2443
Phone (402) 335-3361

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Hospital CurrentSince Jan 1, 2025 Accepting new patients
Johnson County Hospital CurrentSince Jan 20, 2014 Accepting new patients
Johnson County Hospital CurrentSince Jan 20, 2014 Accepting new patients
Johnson County Hospital Past Accepting new patients

Locations

202 High St
Tecumseh, NE 68450
Phone (402) 274-4373

202 High St
Ste 100
Tecumseh, NE 68450
Phone (402) 335-2811

292 Broadway St
Tecumseh, NE 68450
Phone (402) 274-3993

Interoperability endpoints

  • Direct secure messaging: johnsoncountyhospital@jchosp.cernerdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1388880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1659792968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 583",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684500583",
            "telephone_number": "402-335-2811",
            "fax_number": "402-335-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HIGH ST STE 100",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684502443",
            "telephone_number": "402-335-2811",
            "fax_number": "402-335-2826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Adams",
            "state": "NE",
            "postal_code": "683018277",
            "country_code": "US",
            "telephone_number": "402-988-2188",
            "fax_number": "402-988-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIESS",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-05",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JohnsonCountyHospital@jchosp.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "202 High St Ste 100",
            "city": "Tecumseh",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684502443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tecumseh, NE

Sources for this page

Verify at the official NPI Registry.