Individual provider Active NPI

Kelsie Cabrera, D.O.

  • Obstetrics & Gynecology Physician
  • Omaha, NE
National Provider Identifier
1689026809
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2336 Issued in NE
Practice address
S 42ND St & Emile St
Omaha, NE 68198
Phone
(402) 559-4000
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2336 NE Primary
Obstetrics & Gynecology Physician 207V00000X 7672 NE

Addresses

Primary practice location

S 42ND St & Emile St
Omaha, NE 68198

Mailing address

4657 Woolworth Ave
Omaha, NE 68106-2053
Phone (316) 706-8448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201022002939 NE Practitioner - Obstetrics/Gynecology 4082909361 Reassigns benefits to 1 organization
I20240329001313 CA Practitioner - Obstetrics/Gynecology 4082909361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Selah Women'S Health PCGroup PAC ID 2668789207, 4 clinicians

Practice addresses (Care Compare)

2216 Buenaventura Blvd
Suite B
Redding, CA 96001-3838
Phone (530) 338-0002

Hospital & facility affiliations

  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2336NEMDObstetrics & Gynecology Physician
7672NEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Selah Women'S Health PC Obstetrics & Gynecology CurrentSince Feb 17, 2024 Accepting new patients
Dignity Health CurrentSince Feb 14, 2024 Accepting new patients
Dignity Health CurrentSince Feb 14, 2024 Accepting new patients
Unmc Physicians CurrentSince Aug 31, 2020 Accepting new patients

Locations

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

2480 Sonoma St
Redding, CA 96001
Phone (530) 225-6090

2216 Buenaventura Blvd
Ste B
Redding, CA 96001
Phone (530) 246-2207

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20136/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kelsie.cabrera.1@20136.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1689026809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4657 WOOLWORTH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062053",
            "telephone_number": "316-706-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S 42ND ST & EMILE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68198",
            "telephone_number": "402-559-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "KELSIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "2336",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "7672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.