Benjamin Grossnicklaus, in Kearney, NE - Medicare Nurse Anesthetist, Certified Registered

Benjamin Grossnicklaus, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kearney, Nebraska. His current practice location is 804 22nd Ave, Kearney, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 455-3600.

Benjamin Grossnicklaus is licensed to practice in Nebraska (license number 101927) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467250050.

Contact Information

	Benjamin Grossnicklaus,
	804 22nd Ave, Kearney, NE 68845-2206
	(308) 455-3600
	Not Available

Map and Direction

Provider's Profile

Full Name	Benjamin Grossnicklaus
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	804 22nd Ave, Kearney, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467250050
Provider Enumeration Date: 03/07/2025
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 7012426752
Enrollment ID: I20250603003753

Medical Identifiers

Medical identifiers for Benjamin Grossnicklaus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467250050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	101927 (Nebraska)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Benjamin Grossnicklaus allows following entities to bill medicare on his behalf.

Entity Name	Bryan Hospital Kearney
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033875380 PECOS PAC ID: 5991195547 Enrollment ID: O20211214002678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Grossnicklaus is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Benjamin Grossnicklaus, 816 22nd Ave Ste 100, Kearney, NE 68845-2226 Ph: (308) 865-2263	Benjamin Grossnicklaus, 804 22nd Ave, Kearney, NE 68845-2206 Ph: (308) 455-3600

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Kearney, NE

Troy A Kluthe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089
Charles L Messbarger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089
Donna M Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089
Daniel D Moos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 E 31st St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089
Kristina E Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089
Kwang Hee Alexander Johng, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 804 22nd Ave, Kearney, NE 68845 Phone: 308-455-3600
Thomas J Goetz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-236-5506 Fax: 308-236-7089

Benjamin Grossnicklaus, - Medicare Nurse Anesthetist, Certified Registered in Kearney, NE