Individual provider Active NPI

Katelyn Kristine Espinoza, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1902420847
Registry record updated Jun 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2300 S 16TH St
Lincoln, NE 68502-3704
Phone
(402) 481-1111
NPI assigned
Jun 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2300 S 16TH St
Lincoln, NE 68502-3704

Mailing address

4731 Old Cheney Rd Apt 6
Lincoln, NE 68516-2852
Phone (402) 613-8122

Other names 1

  • Katelyn Kristine Mathewson Former name

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
I20200804003209 NE Practitioner - Physician Assistant 5395160535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians
Nebraska Orthopaedic Center PCGroup PAC ID 2567432461, 65 clinicians

Practice addresses (Care Compare)

2222 S 16TH St Tower B
405 Bryan Medical Center Trauma Outpatient
Lincoln, NE 68502-3793
Phone (402) 481-5860

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

6900 A St
Suite 100
Lincoln, NE 68510-4120
Phone (402) 436-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2498NEMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: kespinoza117861@hisp.bryanhealth.org

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.

Hospital & facility affiliations 6

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": "1591401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591401600000",
    "number": "1902420847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 OLD CHENEY RD APT 6",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162852",
            "telephone_number": "402-613-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S 16TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023704",
            "telephone_number": "402-481-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "KATELYN",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-06",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "MATHEWSON",
            "middle_name": "KRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.