Individual provider Active NPI

Keli Kolegraff, MD, PHD

  • Plastic Surgery Physician
  • Lincoln, NE
National Provider Identifier
1821331786
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
34969 Issued in NE
Practice address
5757 S 34TH St Ste 300
Lincoln, NE 68516-6661
Phone
(402) 405-4942
NPI assigned
Mar 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD471031 PA
Student in an Organized Health Care Education/Training Program 390200000X
Plastic Surgery Physician 208200000X 34969 NE Primary

Addresses

Primary practice location

5757 S 34TH St Ste 300
Lincoln, NE 68516-6661

Mailing address

PO Box 21763
Lincoln, NE 68542-1763
Phone (402) 405-4942

Other practice location 1

2222 S 16th St Ste 430
Lincoln, NE 68502-3785
Phone (402) 483-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, IA, NE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211022002499 MD Practitioner - Plastic and Reconstructive Surgery 3971730722 Reassigns benefits to 1 organization
I20220217002050 IA Practitioner - Plastic and Reconstructive Surgery 3971730722 Reassigns benefits to 1 organization
I20220818002392 NE Practitioner - Plastic and Reconstructive Surgery 3971730722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Emory University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Skin Clinics PLCGroup PAC ID 0244333532, 3 clinicians
The Mary Lanning Memorial Hospital AssociationGroup PAC ID 4587575550, 129 clinicians

Practice addresses (Care Compare)

3301 Hwy 71
Suite 1
Spirit Lake, IA 51360-7634
Phone (712) 332-6001

5757 S 34TH St
Suite 300
Lincoln, NE 68516-6661
Phone (402) 405-4942

715 N Kansas Ave
Hastings, NE 68901-4438

715 N Kansas Ave
105 MLH Diabetes Education
Hastings, NE 68901-4453
Phone (402) 461-5318

715 N Kansas Ave
302 Mary Lanning Healthcare Wound Center
Hastings, NE 68901-4452
Phone (402) 460-5516

715 N Saint Joseph Ave
Mary Lanning Healthcare
Hastings, NE 68901-4451
Phone (402) 463-4521

Hospital & facility affiliations

  • Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032
  • York General Health Care Services Hospital, York, NE, CCN 281336
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue79
Removal of skin lesions17
Removal or shaving of skin growth1-10
Skin biopsy17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD471031PAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Paul Place Specialists, Inc. CurrentSince Jul 15, 2021 Accepting new patients
Geisinger Clinic Current Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Jun 1, 2025 Accepting new patients
Geisinger Clinic CurrentSince Sep 1, 2020 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
St Paul Place Specialists Inc CurrentSince Jul 15, 2021 Accepting new patients
Jane S. Hopkins, LLC CurrentSince Mar 23, 2025 Accepting new patients
Geisinger Clinic CurrentSince Sep 1, 2020 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Jun 1, 2025 Accepting new patients
Hastings Family Practice, P.C Past Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

715 N Kansas Ave
Ste 302
Hastings, NE 68901
Phone (402) 460-5516

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

5757 S 34th St
Ste 300
Lincoln, NE 68516
Phone (402) 323-7838

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

100 N Academy Ave
Danville, PA 17822

Organizations & group practices 11

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 4

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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1821331786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21763",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685421763",
            "telephone_number": "402-405-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 S 34TH ST STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166661",
            "telephone_number": "402-405-4942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 S 16th St Ste 430",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685023785",
            "country_code": "US",
            "telephone_number": "402-483-8383",
            "fax_number": "402-483-8388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLEGRAFF",
        "first_name": "KELI",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD471031",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NE",
            "license": "34969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.