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KRISTINA MARIE DOWNING MSN, APRN,FNP
NPI 1518218718
Nurse Practitioner in Norfolk, NE

Active since September 27, 2012PECOS EnrolledAccepts Medicare Assignment
3901 W NORFOLK AVE STE S, NORFOLK, NE 68701(402) 390-4111(402) 390-4115 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2023, Sep 13, 2021, May 12, 2021 and 2 more (5 updates tracked since 2019).

About Kristina Marie Downing Msn, Aprn,fnp NPPES

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

KRISTINA MARIE DOWNING MSN, APRN,FNP (NPI 1518218718) is an individual nurse practitioner in Norfolk, Nebraska, licensed in Nebraska (111378) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Columbus Community Hospital, Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1518218718
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTINA MARIE DOWNINGCredential: MSN, APRN,FNP
Location Address3901 W NORFOLK AVE STE SNorfolk, NE 68701-9227
Mailing Address8005 Farnam Dr Ste 305Omaha, NE 68114-3426 · (402) 390-4111 · Fax (402) 390-4115
Phone(402) 390-4111
Fax(402) 390-4115
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 27, 2012
Last NPPES UpdateSeptember 25, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1518218718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NE · 111378
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 111378 (NE)
3901 W NORFOLK AVE STE S, Norfolk, NE 68701
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Other Identifiers 2

Medicaid605241AZ
Medicaid10026659429NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, UnitedHealthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristina Marie Downing Msn, Aprn,fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527212364
PECOS Enrollment IDI20130204000286
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kristina Downing reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

MD West One, PC
91 mi
Neurological Surgery
8005 FARNAM DR STE 305
Omaha, NE 68114
  • Reassigned Medicare billing, Nebraska enrollment
  • 64 clinicians in this Medicare group
NPI 1588616767 (402) 390-4111
Tmc Medical Network
999 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461
Tmc Urgent Care
999 mi
Urgent Care
2424 N WYATT DR STE 140
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 48 clinicians in this Medicare group
NPI 1649759606 (520) 324-4690

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
465 services183 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
207 services107 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
93 services93 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
65 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
64 services51 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
55 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Columbus Community Hospital, Inc

Acute Care Hospitals · Columbus, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number280111
Location4600 38th StColumbus, NE 68601 · Platte County
Emergency services Birthing friendly

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280125
Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County
Emergency services Birthing friendly

Antelope Memorial Hospital

Critical Access Hospitals · Neligh, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281326
LocationP O Box 229, 102 West 9th StNeligh, NE 68756 · Antelope County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68701 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
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims28 services$5.67 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers12 claims12 services$33.80 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers12 claims12 services$73.58 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers12 claims69 services$16.38 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers13 claims13 services$46.07 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers15 claims15 services$14.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER E PRICE MD
Anesthesiology
3901 W NORFOLK AVE STE S
NORFOLK, NE 68701
Madison County (402) 390-4111

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 Kristina Downing's NPI number?

The NPI number for Kristina Downing is 1518218718. It was assigned to this individual provider in the NPPES registry on September 27, 2012.

Where is Kristina Downing located?

Kristina Downing practices at 3901 W Norfolk Ave Ste S, Norfolk, NE 68701. The listed phone number is (402) 390-4111.

What is Kristina Downing's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kristina Downing enrolled in Medicare?

Yes. Kristina Downing is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kristina Downing's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Downing reassigns Medicare benefits to 3 organizations: MD West One, PC (Omaha, NE), Tmc Medical Network (Tucson, AZ) and Tmc Urgent Care (Tucson, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Downing's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Downing accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Kristina Downing as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristina Downing affiliated with any hospitals?

According to CMS data, Kristina Downing is affiliated with Columbus Community Hospital, Inc, Faith Regional Health Services and Antelope Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kristina Downing was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.