Individual provider Active NPI

Kelly A. Zessin, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1942226352
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1125 Issued in NE
Practice address
5901 N 27TH St
Lincoln, NE 68521-4752
Phone
(402) 483-8590
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 1125 NE Primary

Addresses

Primary practice location

5901 N 27TH St
Lincoln, NE 68521-4752

Mailing address

2222 S 16TH St Ste 400a
Lincoln, NE 68502-3785
Phone (402) 483-8590

Other identifiers 1

IdentifierTypeStateIssuer
2110974MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kzessin572354@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171221001269 WA Practitioner - Physician Assistant 5193778827 Reassigns benefits to 1 organization
I20240405001644 NE Practitioner - Physician Assistant 5193778827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

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

5901 N 27TH St
Lincoln, NE 68521-4752

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1125NEMDClinical Social Worker
51308CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 1, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 1, 2022 Accepting new patients
Seward Urgent Care Partnership LLC Physician Assistant Past Accepting new patients

Locations

11100 NE 6th St
Bellevue, WA 98004
Phone (206) 350-7345

Interoperability endpoints

  • Direct secure messaging: kzessin181088@hisp.bryanhealth.org

Organizations & group practices 4

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 3

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1942226352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST STE 400A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023785",
            "telephone_number": "402-483-8590",
            "fax_number": "402-483-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214752",
            "telephone_number": "402-483-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZESSIN",
        "first_name": "KELLY",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2110974",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kzessin572354@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "31675 Pacific Hwy S",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.