Kelly Denene Gonzales Collins, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23335 Issued in NE

Practice address

2211 Capehart Rd
Suite 104
Bellevue, NE 68123-2121

Phone

(402) 933-4111

Fax

(402) 934-4111

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Creighton University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bellevue Medical Center Hospital, Bellevue, NE, CCN 280132
• The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Family Doc, LLC

  • Family Medicine Physician
  • Bellevue, NE
  • NPI 1073744694
  Medicare reassignment NPD Authorized official

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

• Bellevue Medical Center LLC

  • General Acute Care Hospital
  • Bellevue, NE
  • NPI 1609007525
  Care Compare affiliation
• The Nebraska Medical Center

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356307581
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1972555258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 CAPEHART RD",
            "address_2": "SUITE 104",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681232121",
            "telephone_number": "402-933-4111",
            "fax_number": "402-934-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CAPEHART RD",
            "address_2": "SUITE 104",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681232121",
            "telephone_number": "402-933-4111",
            "fax_number": "402-934-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KELLY",
        "middle_name": "DENENE GONZALES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "23335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "23335",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shane Cole, PT
• Jennifer Lee Coleman, LIMHP
• Dylan Collins
• Heather Collins
• Jessica Collins
• Rebecca Collins, RN, BSN
• Zanya Collins
• Mary Theresa Colofiore
• Robert Frazier Colwell Jr., D.D.S.
• Community Rehab, Inc

• Family Medicine Physician in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.