JACKLYNN A KMENT PA-C
NPI 1003813767
Physician Assistant in Lincoln, NE

Active since July 07, 2005Opted out of Medicare · through Apr 1, 2028
1620 S 70TH ST STE 103, LINCOLN, NE 68506(402) 318-3550(402) 318-3546 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacklynn A Kment Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKLYNN A KMENT PA-C (NPI 1003813767) is an individual physician assistant in Lincoln, Nebraska, licensed in Nebraska (598) and active in the NPI registry since July 2005. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003813767
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACKLYNN A KMENTCredential: PA-C
Location Address1620 S 70TH ST STE 103Lincoln, NE 68506-1563
Mailing Address1620 S 70th St Ste 103Lincoln, NE 68506-1563 · (402) 318-3550 · Fax (402) 318-3546
Fax(402) 318-3546
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateFebruary 19, 2019
NPI 1003813767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NE · 598
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1620 S 70TH ST STE 103, Lincoln, NE 68506

Other Names 1

Former Name (1)Jacklynn A Fitzke Pa-c

Other Identifiers 3

Other37758NE · Blue Shield
Medicaid47065843713NE
Other970013133NE · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jacklynn A Kment Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacklynn Kment's NPI number?

The NPI number for Jacklynn Kment is 1003813767. It was assigned to this individual provider in the NPPES registry on July 7, 2005. The provider is also known as Jacklynn A Fitzke Pa-C.

Where is Jacklynn Kment located?

Jacklynn Kment practices at 1620 S 70th St Ste 103, Lincoln, NE 68506. The listed phone number is (402) 318-3550.

What is Jacklynn Kment's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacklynn Kment enrolled in Medicare?

No. Jacklynn Kment has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jacklynn Kment was last updated on February 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.