Kenneth J Wasmund II, M.D.
Individual provider Active NPI Family Medicine Physician · Ainsworth, NE
NPI 1700403284 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1700403284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- TEP8922 (NE)
- Practice address
- 945 E Zero St
Ainsworth, NE 69210-1556 - Phone
- (402) 387-2800
- Fax
- (402) 387-2804
- NPI assigned
- Jun 30, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brown County Hospital
Practice addresses (Care Compare)
945 E Zero St
Ainsworth, NE 69210-1556
Phone (402) 387-2800
Hospital & facility affiliations
- Aseracare Hospice
- Brown County Hospital
- Rock County Hospital
- Cherry County Hospital
- Sandhills Care Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Sandhills Care Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 11, 2024 Mar 11, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230628002308 | NE | Practitioner - Family Practice | 0941620850 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEP8922 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown County Hospital | Family Medicine | Current |
Accepting new patients |
| Brown County Hospital | Current | Accepting new patients | |
| Brown County Hospital | Current | Accepting new patients | |
| Brown County Hospital | Past | Accepting new patients | |
| Ainsworth Brown County Care Center | Past | Accepting new patients |
Locations
945 E Zero St
Ainsworth, NE 69210
Phone (402) 387-2067
913 E Zero St
Ainsworth, NE 69210
Phone (402) 387-1900
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f24ac13d-3953-486e-b046-3f6f7cc41dd9/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TEP8922 | NE | Yes |
Addresses
Primary practice location
945 E Zero St
Ainsworth, NE 69210-1556
Mailing address
945 E Zero St
Ainsworth, NE 69210-1556
Phone (402) 387-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470553011-00 | Medicaid | NE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kenneth.wasmund.1@9271.direct.athenahealth.com |
Other providers in Ainsworth, NE
- Sinco, Inc Dba Link Pharmacy
- Shannon Marie Sorensen
- David S Spann
- Scott R Steinhauser
- Katelyn Utter
- Misty L Wroblewski
All providers in Ainsworth, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.