Individual provider Active NPI

Kyleen Klinkebiel, PA

  • Physician Assistant
  • Cambridge, NE
National Provider Identifier
1801064738
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1374 Issued in NE
Practice address
309 Nelson St
Cambridge, NE 69022-3592
Phone
(308) 697-3317
Fax
(308) 697-4176
NPI assigned
Feb 13, 2008
Last updated
Feb 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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 1374 NE Primary

Addresses

Primary practice location

309 Nelson St
Cambridge, NE 69022-3592

Mailing address

PO Box 488
Cambridge, NE 69022-0488
Phone (308) 697-3317

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
I20080509000653 NE Practitioner - Physician Assistant 0244319622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cambridge Memorial Hospital IncGroup PAC ID 2466346077, 28 clinicians

Practice addresses (Care Compare)

PO Box
Suite 488
Cambridge, NE 69022

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1374NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Memorial Hospital Inc Current Accepting new patients
Cambridge Memorial Hospital Inc CurrentSince Feb 4, 2008 Accepting new patients
Cambridge Memorial Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kyleenk@yourcarecommunity.org
  • Direct secure messaging: kyleenklinkebiel@tvhs.medalliesdirect.net

Organizations & group practices 3

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1801064738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "CAMBRIDGE",
            "state": "NE",
            "postal_code": "690220488",
            "telephone_number": "308-697-3317",
            "fax_number": "308-697-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NELSON ST",
            "city": "CAMBRIDGE",
            "state": "NE",
            "postal_code": "690223592",
            "telephone_number": "308-697-3317",
            "fax_number": "308-697-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINKEBIEL",
        "first_name": "KYLEEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, NE

Sources for this page

Verify at the official NPI Registry.