NPIMap

Individual provider Active NPI

Kendra A Thiem, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1891970620
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1354 Issued in NE
Practice address
2222 South 16TH Street
Suite 240
Lincoln, NE 68502-3764
Phone
(402) 323-7260
Fax
(402) 323-7266
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01367 KS
Physician Assistant 363A00000X 1354 NE Primary

Addresses

Primary practice location

2222 South 16TH Street
Suite 240
Lincoln, NE 68502-3764

Mailing address

2222 South 16TH Street
Suite 240
Lincoln, NE 68502-3764
Phone (402) 323-7260

Other identifiers 5

IdentifierTypeStateIssuer
P00634904OtherRRM
255216OtherNEMIDLANDS CHOICE
200593630AMedicaidKS
200593630BMedicaidKS
39367OtherNEBCBS NE

Other names 1

  • Kendra A Schnieders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080507000540 NE Practitioner - Physician Assistant 0244319820 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David L Samani MD IncGroup PAC ID 7719066398, 2 clinicians
NMG LLCGroup PAC ID 4981632544, 9 clinicians

Practice addresses (Care Compare)

2222 S 16TH St
Suite 240
Lincoln, NE 68502-3764
Phone (402) 323-7260

2700 W Norfolk Ave
Faith Regional Health Services
Norfolk, NE 68701-4438
Phone (402) 371-4880

901 S 4TH St
Community Pride Care Center
Battle Creek, NE 68715-3035
Phone (402) 675-2955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-01367KSMDPhysician Assistant
1354NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC CurrentSince Oct 11, 2021 Accepting new patients
Boone County Health Center CurrentSince Nov 16, 2024 Accepting new patients
Antelope Memorial Hospital Physician Assistant CurrentSince Nov 7, 2024 Accepting new patients
Boone County Health Center Current Accepting new patients
Antelope Memorial Hospital CurrentSince Nov 7, 2024 Accepting new patients
Boone County Health Center Physician Assistant CurrentSince Nov 16, 2024 Accepting new patients
Midamerican Center for Orthopedics Past Accepting new patients
Nebraska Foot & Ankle, P.C. Past Accepting new patients

Locations

723 W Fairview St
Albion, NE 68620
Phone (402) 385-3149

4508 38th St
Ste 133
Columbus, NE 68601
Phone (402) 562-4700

4600 38th St
Columbus, NE 68601
Phone (402) 562-3333

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

102 W 9th St
Neligh, NE 68756
Phone (402) 887-4151

2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

Interoperability endpoints

  • Direct secure messaging: kthiem56855@hisp.bryanhealth.org
  • Direct secure messaging: kendra.thiem.p1@direct.nmg25.nextgenshare.com

Organizations & group practices 13

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.

View all 13

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1891970620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SOUTH 16TH STREET",
            "address_2": "SUITE 240",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023764",
            "telephone_number": "402-323-7260",
            "fax_number": "402-323-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SOUTH 16TH STREET",
            "address_2": "SUITE 240",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023764",
            "telephone_number": "402-323-7260",
            "fax_number": "402-323-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEM",
        "first_name": "KENDRA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01367",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "P00634904",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "255216",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593630A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593630B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "39367",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "SCHNIEDERS",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.