Individual provider Active NPI

Michaela R Parrish, P.A.-C

  • Medical Physician Assistant
  • Kearney, NE
National Provider Identifier
1861957722
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2319 Issued in NE
Practice address
620 East 25TH Street
Kearney, NE 68847-5511
Phone
(308) 865-2767
Fax
(308) 865-2765
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 2319 NE Primary

Addresses

Primary practice location

620 East 25TH Street
Kearney, NE 68847-5511

Mailing address

P.O. Box 2290
Kearney, NE 68848
Phone (308) 865-2767

Other practice location 1

208 N French Ave
Sutton, NE 68979-2215
Phone (402) 773-2130

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
I20190213003149 NE Practitioner - Physician Assistant 3870831076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phelps Memorial Health CenterGroup PAC ID 9931011947, shared by 4 NPIs, 35 clinicians
Family Practice Associates P.C.Group PAC ID 0446243950, 15 clinicians

Practice addresses (Care Compare)

1215 Tibbals St
Holdrege, NE 68949-1255
Phone (308) 995-2211

620 E 25TH St
Suite 5
Kearney, NE 68847-5511
Phone (308) 865-2767

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134
  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
  • Phelps Memorial Health Center Hospital, Holdrege, NE, CCN 281362

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2319NEMDMedical Physician Assistant

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.

Hospital & facility affiliations 5

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1861957722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2290",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68848",
            "telephone_number": "308-865-2767",
            "fax_number": "308-865-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 EAST 25TH STREET",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475511",
            "telephone_number": "308-865-2767",
            "fax_number": "308-865-2765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 N French Ave",
            "address_purpose": "LOCATION",
            "city": "Sutton",
            "state": "NE",
            "postal_code": "689792215",
            "country_code": "US",
            "telephone_number": "402-773-2130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "MICHAELA",
        "middle_name": "R",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "2319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.