Active NPI
Tracey E Kolund, PA-C
- Physician Assistant
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002099
- Practice address
- 8303 Dodge St
Suite 300
Omaha, NE 68114-4108 - Phone
- (403) 354-5250
- Fax
- (402) 354-3437
- NPI assigned
- May 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002099 | IA | Primary |
Addresses
Primary practice location
8303 Dodge St
Suite 300
Omaha, NE 68114-4108
Mailing address
PO Box 10190
Virginia Beach, VA 23450-0190
Phone (800) 477-5240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025044500 | Medicaid | NE |
Other names 1
- Tracey E Hyda
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
707 N 190TH Plaza
Elkhorn, NE 68022-3974
Phone (402) 815-4000
717 N 190TH Plaza
Suite 2400
Elkhorn, NE 68022-3974
Phone (402) 815-1901
8303 Dodge St
Omaha, NE 68114-4108
8303 W Dodge St
Omaha, NE 68114-4108
Phone (402) 354-9400
Hospital & facility affiliations
- The Nebraska Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1503 | NE | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Physician Assistant | Current | Accepting new patients |
| Medifast Urgent Care LLC | Current | Accepting new patients |
Locations
3830 N 167th Ct
Omaha, NE 68116
Phone (402) 502-2290
8303 Dodge St
Ste 300
Omaha, NE 68114
Phone (402) 354-5250
Interoperability endpoints
- tracey.kolund@direct.nmhs.org
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.
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1689628372
Physician Assistant
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1508633637
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1992024400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10190",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234500190",
"telephone_number": "800-477-5240",
"fax_number": "757-463-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 DODGE ST",
"address_2": "SUITE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144108",
"telephone_number": "403-354-5250",
"fax_number": "402-354-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLUND",
"first_name": "TRACEY",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "002099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025044500",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACEY",
"last_name": "HYDA",
"middle_name": "E",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.