Individual provider Active NPI

Lisa R Hays, PA-C

  • Physician Assistant
  • Kearney, NE
National Provider Identifier
1760613343
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1460 Issued in NE
Practice address
2810 W. 35TH St
Suite 1
Kearney, NE 68845-2886
Phone
(308) 865-2570
Fax
(308) 865-2508
NPI assigned
Jul 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1460 NE
Physician Assistant 363A00000X 1460 NE Primary

Addresses

Primary practice location

2810 W. 35TH St
Suite 1
Kearney, NE 68845-2886

Mailing address

2810 W. 35TH St
Suite 1
Kearney, NE 68845-2886
Phone (308) 865-2570

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
I20091002000636 NE Practitioner - Physician Assistant 7911043039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians

Practice addresses (Care Compare)

804 22ND Ave
Kearney, NE 68845-2206
Phone (308) 455-3600

816 22ND Ave
Suite 100
Kearney, NE 68845-2226
Phone (308) 865-2263

Hospital & facility affiliations

  • Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1460NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Hospital Kearney CurrentSince Jan 1, 2022 Accepting new patients
Platte Valley Medical Group, P.C. Past Accepting new patients
Central Nebraska Spinal Surgery Center, P.C. Past Accepting new patients

Locations

816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263

3712 28th Ave
Kearney, NE 68845
Phone (308) 865-2737

920 E 56th St
Ste C2
Kearney, NE 68847
Phone (308) 237-9696

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

Interoperability endpoints

  • Direct secure messaging: lhays175103@hisp.bryanhealth.org

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 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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1760613343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W. 35TH ST",
            "address_2": "SUITE 1",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452886",
            "telephone_number": "308-865-2570",
            "fax_number": "308-865-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W. 35TH ST",
            "address_2": "SUITE 1",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452886",
            "telephone_number": "308-865-2570",
            "fax_number": "308-865-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYS",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NE",
            "license": "1460",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.