Jonathon Russell Korth

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2865 Issued in NE

Practice address

46439 275 Ave
Humphrey, NE 68642-5003

Phone

(402) 920-2926

NPI assigned

Oct 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Merrick Medical Center 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merrick Medical Center Hospital, Central City, NE, CCN 281328
• Grand Island Regional Medical Center Hospital, Grand Island, NE, CCN 280139

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkorth143236@hisp.bryanhealth.org

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.

• Merrick Medical Center

  • Critical Access Hospital
  • Central City, NE
  • NPI 1386175164

  NE

  Medicare reassignment Care Compare group NPD
• Merrick Medical Center

  • Emergency Medicine Physician
  • Central City, NE
  • NPI 1790216174

  NE

  Medicare reassignment Care Compare group
• Merrick Medical Center

  • Rural Health Clinic/Center
  • Fullerton, NE
  • NPI 1124559901

  Physician Assistant

  Care Compare group NPD
• Merrick Medical Center

  • Rural Health Clinic/Center
  • Central City, NE
  • NPI 1942732227

  Physician Assistant

  Care Compare group NPD (past)
• Merrick Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Central City, NE
  • NPI 1306377783
  Care Compare group

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

• Grand Island Regional Medical Center

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1558910604

  Hospital

  Care Compare affiliation
• Merrick Medical Center

  • Critical Access Hospital
  • Central City, NE
  • NPI 1386175164

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1942925516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46439 275 AVE",
            "city": "HUMPHREY",
            "state": "NE",
            "postal_code": "686425003",
            "telephone_number": "402-920-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46439 275 AVE",
            "city": "HUMPHREY",
            "state": "NE",
            "postal_code": "686425003",
            "telephone_number": "402-920-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTH",
        "first_name": "JONATHON",
        "middle_name": "RUSSELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-06",
        "last_updated": "2023-03-01",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NE",
            "license": "1942925516",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Groteluschen
• Jenna Hesse
• Humphrey Chiropractic
• Humphrey Public School
• Humphrey Volunteer Fire Department
• Kaitlynn Renee Morgan
• Heather Olsen
• Makayla Prothman, OT
• Saint Francis Little Saints Daycare
• Audra Scheerger, D.C.

• All providers in Humphrey, NE
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.