Mikayla Kelley, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

2663 Issued in NE

Practice address

4508 38TH St Ste 133
Columbus, NE 68601-1668

Phone

(402) 562-4700

NPI assigned

Oct 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mikayla Aldrich 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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbus Community Hospital IncGroup PAC ID 7517954944, shared by 6 NPIs, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111
• Butler County Health Hospital, David City, NE, CCN 281332
• Boone County Health Center Hospital, Albion, NE, CCN 281334

Merit-based Incentive Payment System (MIPS)

Final score

65.67 of 100Reported as group

Quality

95

Promoting interoperability

0

Improvement activities

40

Cost

73.89

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdkelley@cgs.gwaydirect.com

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.

• Columbus Community Hospital Inc

  • Emergency Medicine Physician
  • Columbus, NE
  • NPI 1427152131

  Single Specialty

  Medicare reassignment NPD
• Columbus Community Hospital Inc

  • Surgery Physician
  • Columbus, NE
  • NPI 1821592205

  Single Specialty

  Medicare reassignment NPD
• Columbus Community Hospital Inc

  • Dermatology Physician
  • Columbus, NE
  • NPI 1881370476

  Single Specialty

  NPD
• Columbus General Surgery PC

  • Surgery Physician
  • Columbus, NE
  • NPI 1982639597

  Single Specialty

  NPD (past)

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

• Boone County Health Center

  • Critical Access Hospital
  • Albion, NE
  • NPI 1679508816
  Care Compare affiliation
• Butler County Health Care Center

  • Critical Access Hospital
  • David City, NE
  • NPI 1790780237
  Care Compare affiliation
• Columbus Community Hospital Inc

  • General Acute Care Hospital
  • Columbus, NE
  • NPI 1760589295
  Care Compare affiliation

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1902568892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 38TH ST STE 133",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011668",
            "telephone_number": "402-562-4700",
            "fax_number": "402-562-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 38TH ST STE 133",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011668",
            "telephone_number": "402-562-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MIKAYLA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "2663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAYLA",
            "last_name": "ALDRICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dennis William Kappenman Sr., DDS
• Carrissa Elaine Kaup
• Matthew C. Kavan, CRNA
• Joan I Keit, MD
• Rachel Keller
• Kay Ann Kerkhove, LMT
• Kady Ann Kiichler, M.D.
• Amanda Rose Kiser
• Jean K Kiuntke, PLDAC
• Lynette A Klug, LICSW

• Orthopaedic Surgery Physician in Columbus, NE
• Providers in Columbus, NE by specialty
• Orthopaedic Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.