Individual provider Active NPI

Kaitlin D. Hahn, M.D.

  • Family Medicine Physician
  • Saint Paul, NE
National Provider Identifier
1972959823
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7637 Issued in NE
Practice address
1113 Sherman St
Saint Paul, NE 68873-1546
Phone
(308) 754-4421
Fax
(308) 754-2303
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7637 NE Primary

Addresses

Primary practice location

1113 Sherman St
Saint Paul, NE 68873-1546

Mailing address

PO Box 406
Saint Paul, NE 68873-0406
Phone (308) 754-4421

Other names 1

  • Kaitlin D. Zentic Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180306002631 NE Practitioner - Family Practice 1759676042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard County Medical CenterGroup PAC ID 5698775849, 28 clinicians

Practice addresses (Care Compare)

1113 Sherman St
Saint Paul, NE 68873-1546
Phone (308) 754-4421

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7637NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Howard County Medical Center Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Howard County Medical Center Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Howard County Medical Center Past Accepting new patients

Locations

1113 Sherman St
Saint Paul, NE 68873
Phone (308) 754-4421

Interoperability endpoints

  • Direct secure messaging: kaitlin.hahn@hcmc.nehiidirectmail.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Howard County Medical CenterSaint Paul, NE, CCN 281338 Hospital W-2 Managing Employee
Operational/Managerial Control
Jan 1, 2024
Jan 1, 2024
Howard County Medical CenterSaint Paul, NE, CCN 28Z338 Hospital W-2 Managing Employee
Operational/Managerial Control
Jan 1, 2024
Jan 1, 2024
Howard County Medical ClinicSaint Paul, NE, CCN 283455 Rural health clinic W-2 Managing Employee
Operational/Managerial Control
Jan 1, 2024
Jan 1, 2024
Greeley Medical ClinicGreeley, NE, CCN 288511 Rural health clinic W-2 Managing Employee
Operational/Managerial Control
Jan 1, 2024
Jan 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 6

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1972959823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688730406",
            "telephone_number": "308-754-4421",
            "fax_number": "308-754-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 SHERMAN ST",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688731546",
            "telephone_number": "308-754-4421",
            "fax_number": "308-754-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "KAITLIN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "7637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "ZENTIC",
            "middle_name": "D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, NE

Sources for this page

Verify at the official NPI Registry.