Individual provider Active NPI

Kimberly Heinz, APRN

  • Nurse Practitioner
  • Kearney, NE
National Provider Identifier
1972227601
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
114366 Issued in NE
Practice address
1616 W 39TH St Ste a
Kearney, NE 68845-2922
Phone
(308) 236-6499
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 114366 NE Primary

Addresses

Primary practice location

1616 W 39TH St Ste a
Kearney, NE 68845-2922

Mailing address

1616 W 39TH St Ste a
Kearney, NE 68845-2922
Phone (308) 236-6499

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221004000994 NE Practitioner - Nurse Practitioner 5496131187 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schrock Medical Clinic PC Nurse Practitioner CurrentSince Oct 17, 2022 Accepting new patients
Schrock Medical Clinic PC CurrentSince Oct 17, 2022 Accepting new patients

Locations

1616 W 39th St
Ste A
Kearney, NE 68845
Phone (308) 236-6499

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.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1972227601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 W 39TH ST STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452922",
            "telephone_number": "308-236-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W 39TH ST STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452922",
            "telephone_number": "308-236-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "KIMBERLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "114366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.