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

Ronald Matthew Kmiecik, PAC

Individual provider Physician Assistant · NPI 1609145564

Ronald Matthew Kmiecik, PAC is a Physician Assistant in Fremont, Nebraska. Qualified in 2011, 15 years ago. Practices with Surgical Specialists of Conroe, PLLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
15
Licensed in
NE
In the registry since
2011
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2560 N Healthy Way
Fremont, NE 68025-2315
Phone: (402) 941-5073
Fax: (402) 727-7628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2725 S 144th St Ste 212, Omaha, NE 68144-5253 — (402) 637-0800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1854 (NE)

Record details

NPI number1609145564
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 22, 2011
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Surgical Specialists Of Conroe, Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fremont