NPIMap

Individual provider Active NPI

Kaitlyn Huxoll, PA-C

  • Physician Assistant
  • MC Cook, NE
National Provider Identifier
1770129249
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2421 Issued in NE
Practice address
1301 E H St
MC Cook, NE 69001-3482
Phone
(308) 344-2650
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 2421 NE Primary

Addresses

Primary practice location

1301 E H St
MC Cook, NE 69001-3482

Mailing address

PO Box 1328
MC Cook, NE 69001-1328
Phone (308) 344-2650

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address communityhospitalmccook@chm.medalliesdirect.net Direct COMMUNITY HOSPITAL ASSOCIATION

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
I20200128001452 NE Practitioner - Physician Assistant 3476989161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital AssociationGroup PAC ID 9133101629, 26 clinicians

Practice addresses (Care Compare)

1301 E H St
Community Hospital
MC Cook, NE 69001-3482
Phone (308) 344-2650

Hospital & facility affiliations

  • Community Hospital Hospital, McCook, NE, CCN 281363

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Association Physician Assistant CurrentSince Dec 18, 2019 Accepting new patients
Community Hospital Association CurrentSince Dec 18, 2019 Accepting new patients

Locations

1301 E H St
McCook, NE 69001
Phone (308) 344-2650

Interoperability endpoints

  • Direct secure messaging: communityhospitalmccook@chm.medalliesdirect.net

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 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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1770129249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690011328",
            "telephone_number": "308-344-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E H ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013482",
            "telephone_number": "308-344-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUXOLL",
        "first_name": "KAITLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "communityhospitalmccook@chm.medalliesdirect.net",
            "affiliation": "Y",
            "affiliationName": "COMMUNITY HOSPITAL ASSOCIATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1301 E H St",
            "city": "Mc Cook",
            "state": "NE",
            "country_code": "US",
            "postal_code": "690013482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in MC Cook, NE

Sources for this page

Verify at the official NPI Registry.