NPIMap

Individual provider Active NPI

Kristin Anne Twidwell, PAC

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1720170095
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1772 Issued in NE
Practice address
3901 Pine Lake Rd
Suite 120
Lincoln, NE 68516-5497
Phone
(402) 420-1212
Fax
(402) 328-0961
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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 1772 NE Primary

Addresses

Primary practice location

3901 Pine Lake Rd
Suite 120
Lincoln, NE 68516-5497

Mailing address

3901 Pine Lake Rd
Suite 120
Lincoln, NE 68516-5497
Phone (402) 420-1212

Other names 1

  • Kristin Anne Marlow Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristin.twidwell@acon.eclinicaldirectplus.com Health Information Exchange (HIE) Arthritis Center of Nebraska

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140421000182 NE Practitioner - Physician Assistant 6709971765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis Center of NebraskaGroup PAC ID 3779471123, 8 clinicians

Practice addresses (Care Compare)

3901 Pine Lake Rd
Lincoln, NE 68516-5497
Phone (402) 420-1212

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
85.41
Improvement activities
40
Cost
50.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1772NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Physician Network LLC Past Accepting new patients
Bristow Medical Center Operating Company Past Accepting new patients
The Physician Network Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristin.twidwell@acon.eclinicaldirectplus.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 7

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1720170095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD",
            "address_2": "SUITE 120",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165497",
            "telephone_number": "402-420-1212",
            "fax_number": "402-328-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD",
            "address_2": "SUITE 120",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165497",
            "telephone_number": "402-420-1212",
            "fax_number": "402-328-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWIDWELL",
        "first_name": "KRISTIN",
        "middle_name": "ANNE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin.twidwell@acon.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Arthritis Center of Nebraska",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3901 Pine Lake Rd",
            "address_2": "Suite 120",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685165497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MARLOW",
            "middle_name": "ANNE",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.