Nathan L. Kotera, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1483 Issued in NE

Practice address

1760 County Road J
Wahoo, NE 68066-4152

Phone

(402) 443-4191

Fax

(402) 443-1402

NPI assigned

Jan 15, 2010

Last updated

Mar 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saunders Medical CenterGroup PAC ID 2567371784, shared by 4 NPIs, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice and Home Healthcare of Saunders County Home health agency, Wahoo, NE, CCN 287053
• Saunders Medical Center Hospital, Wahoo, NE, CCN 281307
• CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
• Saunders Medical Center Nursing home, CCN 28Z307

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/06e9d567-9657-447f-97fb-d967654387e7/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saunders Medical Center

  • Rural Health Clinic/Center
  • Wahoo, NE
  • NPI 1467442244
  Medicare reassignment NPD
• Saunders Medical Center

  • Critical Access Hospital
  • Wahoo, NE
  • NPI 1831188705
  Medicare reassignment NPD
• Saunders Medical Center

  • Skilled Nursing Facility
  • Wahoo, NE
  • NPI 1013364678
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alegent Creighton Health

  dba CHI Health Lakeside

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1649355132
  Care Compare affiliation
• Girmal Enterprises LLC

  dba Hospice and Home Healthcare of Saunders County

  • Home Health Agency
  • Wahoo, NE
  • NPI 1376298521
  Care Compare affiliation
• Saunders Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Wahoo, NE
  • NPI 1780642660

  Nursing home

  Care Compare affiliation
• Saunders Medical Center

  • Critical Access Hospital
  • Wahoo, NE
  • NPI 1831188705
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1740511732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4191",
            "fax_number": "402-443-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4191",
            "fax_number": "402-443-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTERA",
        "first_name": "NATHAN",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Johnson
• Nicole E Josephsen, APRN NURSE PRACTITIO
• Carla Mary Kastl, PTA
• Peggy S Kavan
• Cortney Kleffner, OT
• Elizabeth Lacy
• Liberty House Wahoo
• Lincoln Vision Center PC (Wahoo Vision Center)
• Joan Lindgren
• Jana L Lindstrom

• Physician Assistant in Wahoo, NE
• Providers in Wahoo, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.