| Alegent Health Quick Care LLC | |
|
3410 N 156th St Omaha NE 68116-2020 | |
| (888) 333-7520 | |
| (402) 614-5733 |
| Full Name | Alegent Health Quick Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3410 N 156th St, Omaha, Nebraska |
| Authorized Official Name and Position | Keith Jankuski (COO) |
| Authorized Official Contact | 4023434409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alegent Health Quick Care LLC 7261 Mercy Rd Attn: Credentialing Omaha NE 68124-2311 Ph: (402) 398-6255 | Alegent Health Quick Care LLC 3410 N 156th St Omaha NE 68116-2020 Ph: (888) 333-7520 |
| NPI Number | 1215066568 |
|---|---|
| Provider Enumeration Date | 03/04/2007 |
| Last Update Date | 04/03/2018 |
| Medicare PECOS PAC ID | 3476657370 |
|---|---|
| Medicare Enrollment ID | O20070403000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215066568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Jolene Marie Lies |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336322866 PECOS PAC ID: 4981591633 Enrollment ID: I20040228000117 |
| Provider Name | Darcy Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649290875 PECOS PAC ID: 6204830821 Enrollment ID: I20060912000598 |
| Provider Name | Ray E Skelton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013034040 PECOS PAC ID: 1759488000 Enrollment ID: I20081202000544 |
| Provider Name | Shelly a Hajny |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396984415 PECOS PAC ID: 6305901448 Enrollment ID: I20090224000529 |
| Provider Name | Joshua Endelicato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295929032 PECOS PAC ID: 4880789015 Enrollment ID: I20100827000090 |
| Provider Name | Nishavini Ranpatabendi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790110898 PECOS PAC ID: 3173749694 Enrollment ID: I20140718000900 |
| Provider Name | Carolyn M Bevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720443245 PECOS PAC ID: 6901105733 Enrollment ID: I20160429000980 |
| Provider Name | Elizabeth Jacobsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013339738 PECOS PAC ID: 0446489231 Enrollment ID: I20160503000545 |
| Provider Name | Jessica L Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992173264 PECOS PAC ID: 1850671637 Enrollment ID: I20171010000444 |
| Provider Name | Markie Novotny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811563885 PECOS PAC ID: 7810392420 Enrollment ID: I20210819003058 |
| Provider Name | Reina Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336652874 PECOS PAC ID: 6507252467 Enrollment ID: I20220401002367 |
| Provider Name | Sydney R Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104687995 PECOS PAC ID: 0749623627 Enrollment ID: I20240207003148 |
| Provider Name | Lauren Kreuzberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487388526 PECOS PAC ID: 9335589837 Enrollment ID: I20240501002010 |
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