NICHOLAS REED (PA-C) – Physician Assistant, NPI 1417413881

NICHOLAS REED (PA-C) is a healthcare provider. based in Kearney, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2331 (NE). The NPI Number for NICHOLAS REED (PA-C) is 1417413881

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS REED (PA-C)
NPI
1417413881
Phone
(402) 450-9330
Address
5809 O AVENUE PL
Enumeration Date
11 February 2019
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
5092054346
Group Practice PAC ID
8325088214
Professional Enrollment ID
I20190423000063
Address ID
NE689200000ALPOXXXBOXX207
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

1,397 PHYSICIAN ASSISTANT in NE

Provider Addresses for NICHOLAS REED (PA-C)

  • 5809 O AVENUE PL

    KEARNEY, NE 688471539

    Phone: (402) 450-9330

    Type: Mailing

  • 2707 L ST

    ORD, NE 688621275

    Phone: (308) 728-4296

    Type: Location

  • CHI Health Good Samaritan, 10, East 31st Street, Kearney, Buffalo County, Nebraska, 68847, United States

    KEARNEY, NE 688472908

    Phone: (308) 865-7100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-07-20 • Largest payer in this snapshot: ABBVIE INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$18
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: 2019-04-23

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
I20190423000063IPhysician 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 68847)

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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: 8325088214View full group profile
NameSpecialtyState
Physician AssistantNE
Nurse PractitionerNE
U R O L O G YNE
Physician AssistantNE
-NE
Family PracticeNE
Family PracticeNE

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICHOLAS REED (PA-C)?
NICHOLAS REED (PA-C) — NPI 1417413881 — is the standard way to identify this listing.
Does the file indicate NICHOLAS REED (PA-C) is practicing under active NPI?
Directory data currently reports NICHOLAS REED (PA-C) as active.
What is NICHOLAS REED (PA-C)'s specialty?
The listing groups NICHOLAS REED (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect NICHOLAS REED (PA-C) on a map?
Expect Kearney, Nebraska as a primary anchor for NICHOLAS REED (PA-C) unless the record lists multiple sites.
Is the information about NICHOLAS REED (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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