NPIMap

Individual provider Active NPI

Kristina Alexis Krajicek, PAC

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1679860167
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1597 Issued in NE
Practice address
2727 S 144TH St Ste 240
Omaha, NE 68144-5201
Phone
(402) 609-1200
Fax
(402) 609-1220
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 1597 NE Primary

Addresses

Primary practice location

2727 S 144TH St Ste 240
Omaha, NE 68144-5201

Mailing address

2727 S 144TH St., #240
Omaha, NE 68144
Phone (402) 609-1200

Other names 1

  • Kristina Alexis West Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine Specialists PC Past Accepting new patients
Nebraska Orthopaedic Hospital LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679860167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST., #240",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68144",
            "telephone_number": "402-609-1200",
            "fax_number": "402-609-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 240",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445201",
            "telephone_number": "402-609-1200",
            "fax_number": "402-609-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAJICEK",
        "first_name": "KRISTINA",
        "middle_name": "ALEXIS",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "WEST",
            "middle_name": "ALEXIS",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.