CAROL MARY PACKARD (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1265401277

CAROL MARY PACKARD (PHYSICIAN ASSISTANT) is a healthcare provider. based in Ogallala, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 459 (NE). The NPI Number for CAROL MARY PACKARD (PHYSICIAN ASSISTANT) is 1265401277

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
CAROL MARY PACKARD (PHYSICIAN ASSISTANT)
NPI
1265401277
Phone
(308) 284-8421
Address
221 E 10TH ST
Enumeration Date
14 March 2006
Last Update Date
15 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3083527100
Graduation Year
1990 (36 years ago)
PAC ID
7719920404
Group Practice PAC ID
0840109823
Professional Enrollment ID
I20050603000316
Address ID
NE691403099GR912XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

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Provider Addresses for CAROL MARY PACKARD (PHYSICIAN ASSISTANT)

  • Family Medical Center, 221, East 10th Street, Ogallala, Keith County, Nebraska, 69153, United States

    OGALLALA, NE 691531425

    Phone: (308) 284-8421

    Type: Location

  • PO BOX 26

    OGALLALA, NE 691530026

    Phone: (308) 284-8421

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-06-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($95).

Total Amount

$209

General + Research + Ownership

Payments

8

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-03

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
I20050603000316IPhysician 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 69153)

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Provider's Procedures

CAROL MARY PACKARD (PHYSICIAN ASSISTANT) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTNE83036Hemoglobin A1C level6839

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: 0840109823View full group profile
NameSpecialtyState
Physician AssistantNE
Family PracticeNE
Family PracticeNE
Nurse PractitionerNE
Nurse PractitionerNE
Family PracticeNE
Nurse PractitionerNE
Nurse PractitionerNE
Orthopedic SurgeryCO
-CO

Reviews

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Frequently asked questions

Is there an official ID for CAROL MARY PACKARD (PHYSICIAN ASSISTANT) in U.S. healthcare records?
The official identifier for CAROL MARY PACKARD (PHYSICIAN ASSISTANT) is NPI 1265401277.
Is CAROL MARY PACKARD (PHYSICIAN ASSISTANT) still an active registrant?
CAROL MARY PACKARD (PHYSICIAN ASSISTANT) carries an active NPI according to the public dataset.
What clinical focus is listed for CAROL MARY PACKARD (PHYSICIAN ASSISTANT)?
At a glance, CAROL MARY PACKARD (PHYSICIAN ASSISTANT) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CAROL MARY PACKARD (PHYSICIAN ASSISTANT)?
Travel planning: use Ogallala, Nebraska as the reference point for CAROL MARY PACKARD (PHYSICIAN ASSISTANT), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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