BENJAMIN GROSSNICKLAUS
NPI 1467250050
Nurse Anesthetist, Certified Registered in Kearney, NE

NPI Status: Active since March 07, 2025

Contact Information

804 22ND AVE
KEARNEY, NE
ZIP 68845
Phone: (308) 455-3600

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  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered

About BENJAMIN GROSSNICKLAUS

This page provides the complete NPI Profile along with additional information for Benjamin Grossnicklaus, a provider established in Kearney, Nebraska with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1467250050 assigned on March 2025. The practitioner's primary taxonomy code is 367500000X with license number 101927 (NE). The provider is registered as an individual and his NPI record was last updated June 2025.

NPI
1467250050
Provider Name
BENJAMIN GROSSNICKLAUS
Gender
Male
Entity Type
Individual
Location Address
804 22ND AVE KEARNEY, NE 68845
Location Phone
(308) 455-3600
Mailing Address
7 OAK LN KEARNEY, NE 68845
Mailing Phone
(402) 604-0322
Is Sole Proprietor?
No
Enumeration Date
03-07-2025
Last Update Date
06-05-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
101927
License State
NE
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467250050
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24127450010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 4 + 5 + 0 + 0 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1467250050 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881001840 BRANDI LARSON
Individual
Nurse Practitioner (Family)804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600
1053720276KEARNEY REGIONAL MEDICAL CENTER
Organization
General Acute Care Hospital804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600
1023122272 MERLIN J WEHLING M.D.
Individual
Anesthesiology804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600
1225331978SONNO ANESTHESIA PC
Organization
Anesthesiology804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600
1548520240 PATRICK AARON DAVIDSON CRNA
Individual
Nurse Anesthetist, Certified Registered804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600
1053742759 BRETT M BRUNA CRNA
Individual
Nurse Anesthetist, Certified Registered804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600
1154634244 KELLY MARIE STEVENSON PA-C
Individual
Physician Assistant804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600
1669885240 PATRICK A. CAMPBELL CRNA
Individual
Nurse Anesthetist, Certified Registered804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600
1760879142 TANNER HUCKABEE
Individual
Physician Assistant804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600
1548355829 AMY MARIE CLARK M.D.
Individual
Anesthesiology804 22ND AVE SONNO ANESTHESIA PC
KEARNEY, NE 68845
(308) 224-2062
1659889368 BLAKE JOHNSON PA-C
Individual
Physician Assistant804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600
1982096996 KATI MAHALEK CRNA
Individual
Nurse Anesthetist, Certified Registered804 22ND AVE
KEARNEY, NE 68845
(308) 224-2062
1407357791 TARYN ELIZABETH TROSPER PA-C
Individual
Physician Assistant804 22ND AVE
KEARNEY, NE 68845
(308) 390-2014
1760973366 CHANCE COLTON BUTTARS CRNA
Individual
Nurse Anesthetist, Certified Registered804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600
1003397605 JESSICA SCOVILLE CSFA
Individual
Physician Assistant (Surgical)804 22ND AVE
KEARNEY, NE 68845
(308) 440-1101
1033685193 MICKI CARRAHER
Individual
Physician Assistant (Surgical)804 22ND AVE
KEARNEY, NE 68845
(308) 470-1278
1760954986MRS. JAMIE ELIZABETH SCHMEITS APRN
Individual
Nurse Practitioner (Family)804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600
1285107714 KWANG HEE ALEXANDER JOHNG CRNA
Individual
Nurse Anesthetist, Certified Registered804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600
1770921413 KATY RAE FISHER CRNA
Individual
Nurse Anesthetist, Certified Registered804 22ND AVE
KEARNEY, NE 68845
(308) 224-2062
1609259977 ELLEN BARNES PA-C
Individual
Physician Assistant804 22ND AVE
KEARNEY, NE 68845
(308) 455-3600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467250050, enumerated in the NPI registry as an "individual" on March 07, 2025

The provider is located at 804 22nd Ave Kearney, Ne 68845 and the phone number is (308) 455-3600

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

This NPI record was last updated on March 07, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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