Individual provider Active NPI

Katlin Nadrchal, PA-C

  • Physician Assistant
  • Papillion, NE
National Provider Identifier
1689224529
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
754 Gold Coast Dr Ste 105
Papillion, NE 68046-4498
Phone
(402) 201-2300
Fax
(402) 201-2307
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2399 NE
Physician Assistant 363A00000X NE Primary

Addresses

Primary practice location

754 Gold Coast Dr Ste 105
Papillion, NE 68046-4498

Mailing address

754 Gold Coast Dr Ste 105
Papillion, NE 68046-4498
Phone (402) 201-2300

Other practice location 1

1502 S Washington St
Papillion, NE 68046-3101
Phone (402) 505-9657

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191015003590 NE Practitioner - Physician Assistant 5395076723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Seasons Family Medicine LLCGroup PAC ID 3678960929, 3 clinicians

Practice addresses (Care Compare)

754 Gold Coast Dr
Suite 105
Papillion, NE 68046-4498
Phone (402) 201-2300

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • CHI Health Midlands Hospital, Papillion, NE, CCN 280105

Merit-based Incentive Payment System (MIPS)

Final score
94.19 of 100Reported as apm
Quality
88.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2399NEMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: katlin.nadrchal.1@26040.direct.athenahealth.com

Organizations & group practices 1

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 2

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1689224529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 GOLD COAST DR STE 105",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464498",
            "telephone_number": "402-201-2300",
            "fax_number": "402-201-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 GOLD COAST DR STE 105",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464498",
            "telephone_number": "402-201-2300",
            "fax_number": "402-201-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680463101",
            "country_code": "US",
            "telephone_number": "402-505-9657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADRCHAL",
        "first_name": "KATLIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "2399",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.