Active NPI
Joel Robert Atchison, M.D.
- Plastic and Reconstructive Surgery Physician
- Kearney, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 20766
- Practice address
- 3712 28TH Avenue
Kearney, NE 68845 - Phone
- (308) 865-2737
- Fax
- (308) 865-6098
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Kearney, NE
- NPI 1407513484
-
- Internal Medicine Physician
- Kearney, NE
- NPI 1144203324
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Nebraska College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bryan Hospital Kearney
Practice addresses (Care Compare)
3712 28TH Ave
Kearney, NE 68845-1325
Phone (308) 865-2737
Hospital & facility affiliations
- Kearney Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 27 |
| Melanoma (skin cancer) excision | 69 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080408000522 | NE | Practitioner - Plastic and Reconstructive Surgery | 8022195502 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Hospital Kearney | Current | Accepting new patients | |
| Bryan Hospital Kearney | Current | Accepting new patients | |
| Platte Valley Medical Group, P.C. | Past | Accepting new patients |
Locations
816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263
3712 28th Ave
#C
Kearney, NE 68845
Phone (308) 865-2737
804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600
3712 28th Ave
Kearney, NE 68845
Phone (308) 865-2737
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 20766 | NE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3712 28TH Avenue
Kearney, NE 68845
Mailing address
816 22ND Ave Suite 100
Kearney, NE 68845-2226
Phone (308) 865-2263
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00333 | Other | NE | BLUE CROSS OF NE ID |
| 47081401200 | Medicaid | NE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 22, 2015.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1902904576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 22ND AVE SUITE 100",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452226",
"telephone_number": "308-865-2263",
"fax_number": "308-865-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3712 28TH AVENUE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "68845",
"telephone_number": "308-865-2737",
"fax_number": "308-865-6098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATCHISON",
"first_name": "JOEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NE",
"license": "20766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NE ID",
"identifier": "00333",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47081401200",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.