Kinzie Adele Norris, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

29863 Issued in NE

Practice address

301 N 27TH St
Suite 11
Norfolk, NE 68701-4401

Phone

(405) 880-0316

Fax

(402) 844-8122

NPI assigned

Jul 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kinzie Adele Matlock Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Surgical Oncology

Education

University of Oklahoma College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Faith Health Hospital, Norfolk, NE, CCN 280125
• Avera St Anthony'S Hospital Hospital, O' Neill, NE, CCN 281329
• Providence Medical Center Hospital, Wayne, NE, CCN 281345
• Rock County Hospital Hospital, Bassett, NE, CCN 281333

Merit-based Incentive Payment System (MIPS)

Final score

95.27 of 100Reported as apm

Quality

85.98

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

80.77 of 100Reported as group

Quality

67.03

Promoting interoperability

96

Improvement activities

40

Cost

72.22

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Faith Regional Physician Services, LLC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1265489157
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera St Anthonys Hospital

  • Critical Access Hospital
  • O'Neill, NE
  • NPI 1891738936
  Care Compare affiliation
• Faith Regional Health Services

  • General Acute Care Hospital
  • Norfolk, NE
  • NPI 1285676544
  Care Compare affiliation
• Providence Medical Center

  • Critical Access Hospital
  • Wayne, NE
  • NPI 1801867494
  Care Compare affiliation
• Rock County Hospital

  • Critical Access Hospital
  • Bassett, NE
  • NPI 1710982194
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1891924809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "address_2": "STE 11",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014401",
            "telephone_number": "405-880-0316",
            "fax_number": "402-844-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "address_2": "SUITE 11",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014401",
            "telephone_number": "405-880-0316",
            "fax_number": "402-844-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "KINZIE",
        "middle_name": "ADELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-11",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NE",
            "license": "29863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348449501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KINZIE",
            "last_name": "MATLOCK",
            "middle_name": "ADELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Norfolk Surgery-Hehner PC
• Norfolk Veterans Home
• Norfork Counseling LLC
• Jessica Norman
• Julio Norman
• North Fork Area Transit
• Northeast Medical Imaging PC
• Northeast Nebraska Anesthesia Professionals LLC
• Northeast Nebraska Area Agency on Aging
• Northeast Nebraska Cardiology Consultants P C

• Surgical Oncology Physician in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Surgical Oncology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.