Individual provider Active NPI

Kassidy D Horst, APRN-NP

  • Women's Health Nurse Practitioner
  • Norfolk, NE
National Provider Identifier
1699291369
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
112308 Issued in NE
Practice address
302 W Phillip Ave
Norfolk, NE 68701-5248
Phone
(402) 371-8000
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 112308 NE Primary

Addresses

Primary practice location

302 W Phillip Ave
Norfolk, NE 68701-5248

Mailing address

1246 3Rd Rd
Wisner, NE 68791-3069
Phone (402) 750-8223

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
I20171002001528 NE Practitioner - Nurse Practitioner 6507131539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midtown Health Center IncGroup PAC ID 9133110182, 14 clinicians

Practice addresses (Care Compare)

302 W Phillip Ave
Norfolk, NE 68701-5248
Phone (402) 370-1064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Health Center, Inc. CurrentSince Oct 2, 2017 Accepting new patients
Midtown Health Center, Inc. CurrentSince Oct 2, 2017 Accepting new patients

Locations

302 W Phillip Ave
Norfolk, NE 68701
Phone (402) 370-1064

303 Plaza Dr
West Point, NE 68788
Phone (402) 372-1034

Interoperability endpoints

  • Direct secure messaging: kassidy.horst.p1@direct.midtownhealthcenter.nextgenshare.com

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1699291369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 3RD RD",
            "city": "WISNER",
            "state": "NE",
            "postal_code": "687913069",
            "telephone_number": "402-750-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W PHILLIP AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015248",
            "telephone_number": "402-371-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORST",
        "first_name": "KASSIDY",
        "middle_name": "D",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NE",
            "license": "112308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.