Individual provider Active NPI

Kristen Stelzer, OTD, OTR/L

  • Occupational Therapist
  • Lincoln, NE
National Provider Identifier
1871013391
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2107 Issued in NE
Practice address
4001 O St
Lincoln, NE 68510-1755
Phone
(402) 817-0834
Fax
(402) 817-0835
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2107 NE Primary

Addresses

Primary practice location

4001 O St
Lincoln, NE 68510-1755

Mailing address

PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 675-1853

Other practice location 1

3307 Barada St
Falls City, NE 68355-2470
Phone (402) 245-6525

Other names 1

  • Kristen Andersen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823000425 NE Practitioner - Occupational Therapist in Private Practice 8921336355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Creighton University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Physical Therapy LLCGroup PAC ID 0749258994, 98 clinicians

Practice addresses (Care Compare)

4001 O St
Lincoln, NE 68510-1755
Phone (402) 817-0834

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
89.57
Improvement activities
40
Cost
71.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2107NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Go Physical Therapy, LLC CurrentSince Jul 15, 2019 Accepting new patients
The Physician Network CurrentSince Jul 15, 2019 Accepting new patients

Locations

3307 Bill Schock Blvd
Falls City, NE 68355
Phone (402) 245-2428

620 N Diers Ave
Ste 300
Grand Island, NE 68803
Phone (308) 382-0344

1601 N 86th St
Ste 300
Lincoln, NE 68505
Phone (402) 327-7515

4701 Champlain Dr
Ste 500
Lincoln, NE 68521
Phone (402) 413-2127

4001 O St
Lincoln, NE 68510
Phone (402) 817-0834

1230 Aries Dr
Ste D
Lincoln, NE 68512
Phone (402) 434-5895

2510 S 40th St
Ste 200
Lincoln, NE 68506
Phone (402) 486-3333

4740 N 27th St
Ste 2
Lincoln, NE 68521
Phone (402) 742-8410

Organizations & group practices 2

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1871013391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5285",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025285",
            "telephone_number": "308-675-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101755",
            "telephone_number": "402-817-0834",
            "fax_number": "402-817-0835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3307 Barada St",
            "address_purpose": "LOCATION",
            "city": "Falls City",
            "state": "NE",
            "postal_code": "683552470",
            "country_code": "US",
            "telephone_number": "402-245-6525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STELZER",
        "first_name": "KRISTEN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ANDERSEN",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.