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Roberta Ellen Kowalski

Physician β€’ Ashton, NE

Active NPI 1336036714 Individual Practitioner Female Practitioner
Practice location in NPPES

79149 480th Ave
Ashton, NE 688172283

Call 3087505438 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

79149 480th Ave

Ashton, NE 688172283

Telephone 3087505438
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Ravenna, NE. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-19
Respite Care - Respite Care, Physical Disabilities, Child Primary Specialty

NUCC Taxonomy Code: 385HR2065X

A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nebraska State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

802 W Piedmont St

Ravenna, NE 688694054

Phone: 3087081771

224 1/2 Grand Ave

Ravenna, NE 688691320

Phone: 3082020232

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
βœ…
NPI Profile Active June 19, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 19, 2025

Registered at 79149 480TH AVE, ASHTON, NE 688172283 (Tel: 3087505438)

πŸ“
Business Mailing Address (Initial Record) June 19, 2025

Registered at 79149 480TH AVE, ASHTON, NE 688172283 (Tel: 3087505438)

🏒
Secondary Practice Location Registered June 19, 2025

Additional practice office at 802 W Piedmont St, Ravenna, NE 688694054

🏒
Secondary Practice Location Registered June 19, 2025

Additional practice office at 224 1/2 Grand Ave, Ravenna, NE 688691320

πŸ‘€
Provider Name / Credentials (Initial Record) June 19, 2025

Recorded as ROBERTA KOWALSKI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2025

Respite Care

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Initial NPI Registration & Enumeration June 19, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336036714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2025
Last Update: June 19, 2025
Sole Proprietor: Yes

Mailing Address

79149 480th Ave

Ashton, NE 688172283

Phone: 3087505438

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.