Individual provider Active NPI

Kimberley A Meyer, PA-C

  • Medical Physician Assistant
  • Omaha, NE
National Provider Identifier
1811945488
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
775 Issued in NE
Practice address
7710 Mercy Rd Ste 3000
Omaha, NE 68124-2350
Phone
(402) 932-1999
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 775 NE Primary

Addresses

Primary practice location

7710 Mercy Rd Ste 3000
Omaha, NE 68124-2350

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 552-2100

Other identifiers 2

IdentifierTypeStateIssuer
37359OtherNEBCBS NE
47081309213MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081106000827 NE Practitioner - Physician Assistant 0547329443 Reassigns benefits to 2 organizations
I20250523002396 KS Practitioner - Physician Assistant 0547329443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Head and Neck Surgery of Kansas City P aGroup PAC ID 7911032131, 11 clinicians

Practice addresses (Care Compare)

5370 College Blvd
Suite 100
Overland Park, KS 66211-1891
Phone (913) 599-4800

8901 W 74TH St
Suite 121
Merriam, KS 66204-2201
Phone (913) 599-4800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
775NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Dec 20, 2022 Accepting new patients
Head & Neck Surgery of Kansas City P a CurrentSince Apr 28, 2025 Accepting new patients
Alegent Creighton Clinic CurrentSince Dec 20, 2022 Accepting new patients
Head & Neck Surgery of Kansas City P a CurrentSince Apr 28, 2025 Accepting new patients
Midwest Ear, Nose & Throat Clinic, P.C. Past Accepting new patients
Infectious Disease & Epidemiology Associates PC Past Accepting new patients
Alegent Creighton Clinic Medical Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

7840 W 165th St
Ste 280
Overland Park, KS 66223
Phone (913) 381-0622

5370 College Blvd
Ste 100
Overland Park, KS 66211
Phone (913) 933-0939

8901 W 74th St
Ste 121
Shawnee Msn, KS 66204
Phone (913) 261-2223

17030 Lakeside Hills Plz
Ste 202
Omaha, NE 68130
Phone (402) 758-5240

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7710 Mercy Rd
Ste 3000
Omaha, NE 68124
Phone (402) 717-9600

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

Organizations & group practices 8

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1811945488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-552-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD STE 3000",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242350",
            "telephone_number": "402-932-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KIMBERLEY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "37359",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081309213",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.