Active NPI
Kathryn M McInerney, MD
- Hospitalist Physician
- Omaha, NE
National Provider Identifier
1932547841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 28938
- Practice address
- 8303 Dodge St
Omaha, NE 68114-4108 - Phone
- (402) 354-2360
- Fax
- (402) 354-2440
- NPI assigned
- Jun 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28938 | NE | |
| Hospitalist Physician | 208M00000X | 28938 | NE | Primary |
Addresses
Primary practice location
8303 Dodge St
Omaha, NE 68114-4108
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932547841 | Medicaid | IA | |
| 470687317-16 | Medicaid | NE |
Other names 1
- Kathryn M. Kersenbrock
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
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-8163
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Internal Medicine | Current | Accepting new patients |
| Nebraska Methodist Hospital | Past | Accepting new patients |
Locations
8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
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.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Omaha, NE
- NPI 1013122571
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356345318
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1932547841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144108",
"telephone_number": "402-354-2360",
"fax_number": "402-354-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINERNEY",
"first_name": "KATHRYN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-13",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "28938",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NE",
"license": "28938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932547841",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470687317-16",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "KERSENBROCK",
"middle_name": "M.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.