Active NPI
Emma Wilken, AU.D
- Audiologist
- Kearney, NE
National Provider Identifier
1659948966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 409
- Practice address
- 615 W 39TH St Ste 1
Kearney, NE 68845-8045 - Phone
- (308) 865-2277
- NPI assigned
- Jun 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 409 | NE | Primary |
Addresses
Primary practice location
615 W 39TH St Ste 1
Kearney, NE 68845-8045
Mailing address
615 W 39TH St Ste 1
Kearney, NE 68845-8045
Phone (308) 865-2277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409 | Other | NE | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emma.wilken.1@16359.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 W 39TH St
Kearney, NE 68845-8045
Phone (308) 865-2277
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.34 of 100
- Quality
- 52.69
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 409 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Physicians of Kearney, P.C. | Audiologist | Current | Accepting new patients |
| Allergy, Asthma & Immunology Associates P.C. | Past | Accepting new patients |
Locations
615 W 39th St
Kearney, NE 68845
Phone (308) 698-2820
615 W 39th St
Ste 1
Kearney, NE 68845
Phone (308) 865-2277
Interoperability endpoints
- https://api.platform.athenahealth.com/16359/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- Omaha, NE
- NPI 1063471860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622937600000",
"number": "1659948966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 W 39TH ST STE 1",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688458045",
"telephone_number": "308-865-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 W 39TH ST STE 1",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688458045",
"telephone_number": "308-865-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKEN",
"first_name": "EMMA",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-06",
"last_updated": "2021-06-06",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NE",
"license": "409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "409",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emma.wilken.1@16359.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Direct messaging address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "615 W 39th St Ste 1",
"city": "Kearney",
"state": "NE",
"country_code": "US",
"postal_code": "688458045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.