Individual provider Active NPI

Katarzyna Maria Wolanin, M.D.

  • Surgery Physician
  • North Platte, NE
National Provider Identifier
1891085031
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30089 Issued in NE
Practice address
601 W Leota St
North Platte, NE 69101-6525
Phone
(308) 568-8000
NPI assigned
Apr 8, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery Physician 208600000X 30089 NE Primary

Addresses

Primary practice location

601 W Leota St
North Platte, NE 69101-6525

Mailing address

516 W Leota St
North Platte, NE 69101
Phone (308) 568-3700

Other practice location 1

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-7890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170728003004 NE Practitioner - General Surgery 2264703982 Reassigns benefits to 1 organization
I20230524000238 CO Practitioner - General Surgery 2264703982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians

Practice addresses (Care Compare)

1600 Prairie Ctr Pkwy
Brighton, CO 80601-4006
Phone (303) 498-1600

1610 Prairie Ctr Pkwy
Brighton, CO 80601-4003

4859 Yampa St
Denver, CO 80249-7760
Phone (303) 498-1885

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux13
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 3, 2025 Accepting new patients
North Platte Nebraska Hospital Corporation Surgery CurrentSince Aug 23, 2017 Accepting new patients
Platte Valley Medical Group LLC CurrentSince Feb 20, 2023 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Feb 20, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 3, 2025 Accepting new patients
Apex Surgical Partners Inc Past Accepting new patients
Brighton Community Hospital Association Past Accepting new patients
Platte Valley Medical Group LLC Past Accepting new patients
Intermountain Medical Group Denver, LLC Surgery PastSince Dec 1, 2023 Accepting new patients

Locations

23750 E 14th Ave
Ste 240
Aurora, CO 80018
Phone (303) 812-5220

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

516 W Leota St
North Platte, NE 69101
Phone (308) 534-5370

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891085031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "69101",
            "telephone_number": "308-568-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016525",
            "telephone_number": "308-568-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLANIN",
        "first_name": "KATARZYNA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "30089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.