Look up the most recent NPI and PECOS records

Kimberly Mccolley

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Mccolley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1013067016
Provider Type
Individual
Full Name
Mccolley, Kimberly
Credential
P.A.-C.

Gender
Female
Sole Proprietor
No
Enumeration Date
1/11/2007
Last Updated
5/11/2016

Contact Information

Practice Location

Emile @ 42nd St, Omaha, NE 68198-0001

(402) 559-4015

(402) 559-8715

Mailing Location

988102 Nebraska Medical Center, Omaha, NE 68198-8102

(402) 559-6195

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 938 Nebraska

Kimberly Mccolley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Storey, Anne Marie

Kelley, Chad

Pereira, Matthew Keyes

Skelton, Emma Elizabeth

Reicks, Brandon L

Hoffmeyer, Blake I

Clayton, Lindsay

Alexander, Amanda

Andree, Kurt S

Dietze, Tamara Ryan