Look up the most recent NPI and PECOS records

Kelly Gassman

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kelly Gassman 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
1427516228
Provider Type
Individual
Full Name
Gassman, Kelly
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
3/11/2019
Last Updated
5/1/2019

Contact Information

Practice Location

42nd @ Dewey St, Omaha, NE 68198-1023

(402) 552-6007

Unlisted Fax

Mailing Location

988102 Nebraska Medical Center, Omaha, NE 68198-8102

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 2340 Nebraska

Kelly Gassman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Krajewski, Alexa

Campbell, Sally J

Polack, Susan H

Alexander, Amanda

Land, Christine Catherine

Schoonover, Michaela M

Drey, Katie

Ralston, Emma

Saucier, Delaney Mclane

Wheeler, Angela