Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Grossnicklaus

Individual provider Certified Registered Nurse Anesthetist · NPI 1467250050

Benjamin Grossnicklaus is a Certified Registered Nurse Anesthetist (CRNA) in Kearney, Nebraska. Qualified in 2025, 1 year ago. Practices with Bryan Hospital Kearney, a 117-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
1
Licensed in
NE
In the registry since
2025

Practice location Address checks out

804 22nd Ave
Kearney, NE 68845-2206
Phone: (308) 455-3600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 101927 (NE)

Record details

NPI number1467250050
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 7, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address816 22nd Ave Ste 100, Kearney, NE 68845-2226

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Bryan Hospital Kearney — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kearney