Individual provider Active NPI

Kimberly Rae Brandenburg, APRN

  • Family Nurse Practitioner
  • Columbus, NE
National Provider Identifier
1740842640
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112836 Issued in NE
Practice address
1916 15TH St
Columbus, NE 68601-5127
Phone
(402) 910-8083
NPI assigned
Jul 1, 2019
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112836 NE Primary

Addresses

Primary practice location

1916 15TH St
Columbus, NE 68601-5127

Mailing address

1410 N 13TH St
Norfolk, NE 68701-2669
Phone (402) 379-2322

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
I20190802000250 NE Practitioner - Nurse Practitioner 0042546723 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbus Medical Center, P.C.Group PAC ID 0749233757, 7 clinicians
Columbus Urgent Care LLCGroup PAC ID 1759578180, 8 clinicians

Practice addresses (Care Compare)

1454 28TH Ave
Columbus, NE 68601-4944
Phone (402) 564-2816

3100 23Rd St
Suite T
Columbus, NE 68601-3161
Phone (402) 562-5400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112836NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Community Hospital Inc CurrentSince Feb 1, 2020 Accepting new patients
Columbus Community Hospital Inc CurrentSince Sep 15, 2019 Accepting new patients
Columbus Medical Center, P.C. CurrentSince Aug 1, 2024 Accepting new patients
Columbus Urgent Care LLC CurrentSince Jun 13, 2023 Accepting new patients
Columbus Community Hospital Inc Current Accepting new patients
Columbus Community Hospital Inc CurrentSince Sep 15, 2019 Accepting new patients

Locations

1454 28th Ave
Columbus, NE 68601
Phone (402) 564-2816

3100 23rd St
Ste T
Columbus, NE 68601
Phone (402) 562-5400

4508 38th St
Ste 133
Columbus, NE 68601
Phone (402) 562-4700

4600 38th St
Columbus, NE 68601
Phone (402) 562-3333

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73377
  • Direct secure messaging: kbrandenburg@colmed.directbygreenway.com
  • Direct secure messaging: kimberly.brandenburg.1@16293.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1740842640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N 13TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012669",
            "telephone_number": "402-379-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 15TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686015127",
            "telephone_number": "402-910-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBURG",
        "first_name": "KIMBERLY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.