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Deactivated NPI 1275127417 Deactivated / Inactive NPI Female Practitioner

Katelyn B Phillips , PA-C

Physician Assistant • Kearney, NE

✓ Accepts Medicare Assignment Telehealth Available
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Katelyn Phillips has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2021
NPI Deactivation Date March 01, 2021
Total Practice Duration ~1 Years of Practice (2020 – 2021)

Professional Overview & Biography Verified Profile Summary

Katelyn Phillips, PA-C was a registered Physician Assistant practicing in Kearney, NE. Throughout an active medical career spanning 1 years, Katelyn Phillips provided care at the practice location at 2232 CHANCELLORS AVE until profile deactivation on 2021-03-01.

Katelyn Phillips was affiliated with Unmc Physicians and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Historical Medicare Part B clinical services included established patient outpatient office visit, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, blood test, comprehensive group of blood chemicals. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2232 Chancellors Ave

Kearney, NE 688452053

Telephone 3088652303
Associated Practice Facility / Clinic
🏢 Nebraska Medical Center Facility NPI 1285394049

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kearney, NE

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -6.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
57 Specialists

Practicing in Kearney, NE (1366 Statewide)

Telehealth Adoption Rate
15.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
68.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phillips (6 Years) 6 Yrs
Kearney Specialty Average (12.5 Years) 12.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
295 151 $245.00 $75.60
99213 Established patient office or other outpatient visit, typically 15 minutes
170 129 $160.00 $51.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
18 18 $350.00 $108.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 13 $245.00 $75.83

Medical Specialties & State Licenses

CMS Verified: 2025-02-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NE 2596

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Unmc Physicians

Emile 42nd St, Omaha, NE 681980001

Phone: 4025594015

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Rebecca Houser , PA-C

Physician Assistant

NPI 1104598044

Physician Assistant (Certified)

Dr. Cynthia Lewis , MD

Internal Medicine - Hematology & Oncology

NPI 1235100660

Doctor of Medicine (M.D.)

Dr. George Bascom , MD

Internal Medicine - Hematology & Oncology

NPI 1356324271

Doctor of Medicine (M.D.)

Nicole Buettner , PA-C

Physician Assistant

NPI 1528364684

Physician Assistant (Certified)

Kaelyse Adler , PA-C

Physician Assistant - Medical

NPI 1619479698

Physician Assistant (Certified)

Mckenna Flint

Physician Assistant

NPI 1639855380

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 11, 2025

Registered at 2232 CHANCELLORS AVE, KEARNEY, NE 688452053 (Tel: 3088652303)

📍
Updated Business Mailing Address February 11, 2025

Registered at 2232 CHANCELLORS AVE, KEARNEY, NE 688452053 (Tel: 3088652303)

📍
Updated Business Mailing Address August 07, 2023

Registered at 4307 FAIRACRES RD, KEARNEY, NE 688452330 (Tel: 4029422871)

👤
Provider Name / Credentials Updated August 07, 2023

Recorded as KATELYN PHILLIPS, PA-C

📍
Updated Practice Location May 19, 2021

Registered at 412 W 42ND ST, KEARNEY, NE 688452401 (Tel: 3088652303)

📍
Updated Business Mailing Address May 19, 2021

Registered at 607 9TH AVE UNIT 77, KEARNEY, NE 688453527 (Tel: 4029422871)

👤
Provider Name / Credentials Updated May 19, 2021

Recorded as KATELYN BAUMGART, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2021

Physician Assistant (License #2596 in NE)

⚠️
NPI Profile Deactivated March 01, 2021

Record deactivated on March 01, 2021

🟢
Initial NPI Registration & Enumeration March 01, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275127417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2021
Last Update: February 11, 2025
Deactivation Date: March 01, 2021
Sole Proprietor: No

Mailing Address

2232 Chancellors Ave

Kearney, NE 688452053

Phone: 3088652303

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.