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

Kevin Gary Loontjer, MPASPA-C

Individual provider Surgical Physician Assistant · NPI 1710125919

Kevin Gary Loontjer, MPASPA-C is a Physician Assistant in Fremont, Nebraska. Qualified in 2008, 18 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
18
Licensed in
NE
In the registry since
2009

Practice location Address checks out

2740 N Clarkson St
Fremont, NE 68025-7716
Phone: (402) 721-0090
Fax: (402) 721-9661
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1419 (NE)

Record details

NPI number1710125919
Entity typeIndividual (Type 1)
GenderMale
Credentials MPASPA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2009
Last updated in NPPESApril 8, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare