MR. KYLE THOMAS GINNATY (PA) – Physician Assistant, NPI 1194451377

MR. KYLE THOMAS GINNATY (PA) is a healthcare provider. based in Papillion, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 3072 (NE). The NPI Number for MR. KYLE THOMAS GINNATY (PA) is 1194451377

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MR. KYLE THOMAS GINNATY (PA)
NPI
1194451377
Phone
(402) 680-2190
Address
2122 CREST RIDGE DR
Enumeration Date
28 July 2022
Last Update Date
31 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024380101
Graduation Year
2024 (2 years ago)
PAC ID
3173069713
Group Practice PAC ID
5991936841
Professional Enrollment ID
I20240719001103
Address ID
NE685221231LI1336XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for MR. KYLE THOMAS GINNATY (PA)

  • 2122 CREST RIDGE DR

    PAPILLION, NE 681332455

    Phone: (402) 680-2190

    Type: Mailing

  • 42ND AND EMILE

    OMAHA, NE 681980001

    Phone: (402) 559-4000

    Type: Location

  • 6800 ASHBROOK DR # 306

    LINCOLN, NE 685163442

    Phone: (402) 680-2190

    Type: Mailing

  • 1336 W A ST

    LINCOLN, NE 685221231

    Phone: (402) 438-0101

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240719001103IPhysician AssistantNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68133)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991936841View full group profile
NameSpecialtyState
Family PracticeNE
Physician AssistantNE

Reviews

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Frequently asked questions

What is MR. KYLE THOMAS GINNATY (PA)'s NPI number?
MR. KYLE THOMAS GINNATY (PA)'s NPI is 1194451377 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MR. KYLE THOMAS GINNATY (PA)?
You should see MR. KYLE THOMAS GINNATY (PA) as active in CMS-hosted NPPES data.
What expertise is attributed to MR. KYLE THOMAS GINNATY (PA)?
MR. KYLE THOMAS GINNATY (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. KYLE THOMAS GINNATY (PA)?
Travel planning: use Papillion, Nebraska as the reference point for MR. KYLE THOMAS GINNATY (PA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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