Individual provider Active NPI

Sean E Craig, PA

  • Physician Assistant
  • Norfolk, NE
National Provider Identifier
1760490247
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
940 Issued in NE
Practice address
301 N 27TH St
Suite 1
Norfolk, NE 68701-4457
Phone
(402) 844-8000
Fax
(402) 844-8047
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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 940 NE Primary

Addresses

Primary practice location

301 N 27TH St
Suite 1
Norfolk, NE 68701-4457

Mailing address

301 N 27TH St
Suite 1
Norfolk, NE 68701-4457
Phone (402) 844-8000

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
I20040618001287 NE Practitioner - Physician Assistant 9931184553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

2700 W Norfolk Ave
Norfolk, NE 68701-4438

2701 W Norfolk Ave FL
Norfolk, NE 68701-4407

3763 39TH Ave
Suite 600
Columbus, NE 68601-4530
Phone (402) 564-9450

47452 268 Ave
Suite C
Humphrey, NE 68642-5178
Phone (402) 923-0150

723 W Fairview
Boone County Health Center
Albion, NE 68620-1725
Phone (402) 395-3156

Hospital & facility affiliations

  • Faith Health Hospital, Norfolk, NE, CCN 280125
  • Antelope Memorial Hospital Hospital, Neligh, NE, CCN 281326
  • Boone County Health Center Hospital, Albion, NE, CCN 281334
  • Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
940NEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC CurrentSince Nov 1, 2017 Accepting new patients
Nebraska Methodist Hospital Physician Assistant Past Accepting new patients
Urgent Care of Omaha Maple LLC Past Accepting new patients

Locations

3763 39th Ave
Ste 600
Columbus, NE 68601
Phone (402) 564-2411

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

102 W 9th St
Neligh, NE 68756
Phone (402) 887-4151

301 N 27th St
Ste 1
Norfolk, NE 68701
Phone (402) 844-8000

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

301 N 27th St
Norfolk, NE 68701
Phone (402) 844-8000

2701 W Norfolk Ave
Fl 2
Norfolk, NE 68701
Phone (402) 844-8291

2701 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 844-8158

110 N 29th St
Ste 201
Norfolk, NE 68701
Phone (402) 844-8121

Interoperability endpoints

  • Direct secure messaging: scraig103086@direct.nebraskamed.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 4

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1760490247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "address_2": "SUITE 1",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014457",
            "telephone_number": "402-844-8000",
            "fax_number": "402-844-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "address_2": "SUITE 1",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014457",
            "telephone_number": "402-844-8000",
            "fax_number": "402-844-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "SEAN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.