Hanh Nguyen Keblesh, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1159372 Issued in NE

Practice address

2429 M St
Omaha, NE 68107-2715

Phone

(402) 731-7333

NPI assigned

Mar 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harlan Medical LLCGroup PAC ID 8628206034, 11 clinicians

Hydr8 LLCGroup PAC ID 1456726884, 18 clinicians

4G Enterprises LLCGroup PAC ID 4789810508, 20 clinicians

Urgent Care Bennington, LLCGroup PAC ID 0446751994, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Urgent Care Bennington, LLC

  • Urgent Care Clinic/Center
  • Bennington, NE
  • NPI 1033940879

  Single Specialty

  Medicare reassignment Care Compare group NPD
• 4G Enterprises, LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1033544267
  Medicare reassignment Care Compare group
• Harlan Medical, LLC

  • Urgent Care Clinic/Center
  • Bellevue, NE
  • NPI 1487089611
  Medicare reassignment Care Compare group
• Hydr8, LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1922735406
  Medicare reassignment Care Compare group
• Make Medical, LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1295181022
  Medicare reassignment
• Bellevue Urgent Care LP

  • Urgent Care Clinic/Center
  • Bellevue, NE
  • NPI 1861632127

  Single Specialty

  NPD
• Urgent Care Group LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1144528035

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1679100655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 N 161ST AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681166429",
            "telephone_number": "402-541-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 M ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072715",
            "telephone_number": "402-731-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBLESH",
        "first_name": "HANH",
        "middle_name": "NGUYEN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1159372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric N Kebeh
• Jude K. Kebeh
• Lucien C Kebeh
• Anthony Richard Keber, MD
• Teresa Keber
• Mary Manning Kechely
• Keck Counseling
• Amy Jane Keck
• Sydney Keckler, MD
• Kecrx LLC

• Physician Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.