Active NPI
Kimberly A Hilliard, P.A.
- Physician Assistant
- Kearney, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 530
- Practice address
- 3500 Central Ave
Kearney, NE 68847-2944 - Phone
- (308) 865-2512
- Fax
- (308) 865-2506
- NPI assigned
- May 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 530 | NE | Primary |
| Physician Assistant | 363A00000X | 15-01243 | KS |
Addresses
Primary practice location
3500 Central Ave
Kearney, NE 68847-2944
Mailing address
PO Box 2168
Kearney, NE 68848-2168
Phone (308) 865-2512
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00787095 | Other | KS | RAILROAD MEDICARE |
| 25426 | Other | MIDLANDS CHOICE | |
| 37441 | Other | NE | BCBS |
| 507606186 | Medicaid | NE | |
| 100351360 | Medicaid | KS | |
| 970010244 | Other | NE | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- CHI Health Good Samaritan
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 530 | NE | MD | Clinical Neuropsychologist |
| 15-01243 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Hospital Kearney | Current | Accepting new patients | |
| Healthservicesone, P.C. | Past | Accepting new patients | |
| Platte Valley Medical Group, P.C. | Past | Accepting new patients |
Locations
1150 State St
Phillipsburg, KS 67661
Phone (785) 543-5226
804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600
816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263
Interoperability endpoints
- khilliard95746@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.
-
- Family Medicine Physician
- Kearney, NE
- NPI 1033875380
-
- General Acute Care Hospital
- Kearney, NE
- NPI 1407513484
-
- Ambulatory Surgical Clinic/Center
- Kearney, NE
- NPI 1568456903
-
- Internal Medicine Physician
- Kearney, NE
- NPI 1144203324
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kearney, NE
- NPI 1407513484
-
- Psychiatric Hospital Unit
- Kearney, NE
- NPI 1114942869
-
- General Acute Care Hospital
- Kearney, NE
- NPI 1336184019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1801899018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2168",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688482168",
"telephone_number": "308-865-2512",
"fax_number": "308-865-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 CENTRAL AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688472944",
"telephone_number": "308-865-2512",
"fax_number": "308-865-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIARD",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "530",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15-01243",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00787095",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "25426",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "37441",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507606186",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100351360",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970010244",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.