Individual provider Active NPI

Kimberly Ann Joshi, PA

  • Physician Assistant
  • Papillion, NE
National Provider Identifier
1811295124
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10886 Issued in TX
Practice address
11650 S 73Rd St
Papillion, NE 68046-1500
Phone
(402) 398-6254
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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 PA10886 TX Primary

Addresses

Primary practice location

11650 S 73Rd St
Papillion, NE 68046-1500

Mailing address

PO Box 642117
Omaha, NE 68164-8117

Other names 1

  • Kimberly Ann Hovseth Former name

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
I20131015001051 NE Practitioner - Physician Assistant 0749450153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Father Flanagans Boys HomeGroup PAC ID 9638165400, 93 clinicians

Practice addresses (Care Compare)

14000 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-6000

14080 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (402) 778-6900

14092 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-1449

555 N 30TH St
Omaha, NE 68131-2136

7205 W Ctr Rd
Omaha, NE 68124-2387
Phone (531) 355-7684

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1574NEMDCounselor
PA10886TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan's Boys' Home Physician Assistant CurrentSince Oct 1, 2023 Accepting new patients
Arianna Bender MD PA PastSince Jul 5, 2005 Accepting new patients
ENT Services PC Physician Assistant Past Accepting new patients

Locations

14000 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6000

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1811295124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642117",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681648117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 S 73RD ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680461500",
            "telephone_number": "402-398-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HOVSETH",
            "middle_name": "ANN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.