| Bryan Physician Network | |
|
2222 S 16th St Suite 400a Lincoln NE 68502-3796 | |
| (402) 483-8590 | |
| (402) 483-8599 |
| Full Name | Bryan Physician Network |
|---|---|
| Speciality | Family Medicine |
| Location | 2222 S 16th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Joseph Mangiameli (PRESIDENT) |
| Authorized Official Contact | 4024815603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Physician Network 2222 S 16th St Suite 400a Lincoln NE 68502-3796 Ph: (402) 483-8590 | Bryan Physician Network 2222 S 16th St Suite 400a Lincoln NE 68502-3796 Ph: (402) 483-8590 |
| NPI Number | 1679528798 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Medicare PECOS PAC ID | 7315915873 |
|---|---|
| Medicare Enrollment ID | O20040922000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679528798 | NPI | - | NPPES |
| 10025382000 | Medicaid | NE | |
| 10025392200 | Medicaid | NE | |
| 10025636100 | Medicaid | NE | |
| 10025136400 | Medicaid | NE | |
| 10025718000 | Medicaid | NE | |
| 10025896400 | Medicaid | NE | |
| 10026418100 | Medicaid | NE | |
| 10025481300 | Medicaid | NE | |
| 10026454500 | Medicaid | NE | |
| 10026311700 | Medicaid | NE | |
| 10026416000 | Medicaid | NE | |
| 10026464400 | Medicaid | NE |
| Provider Name | Courtney B Sams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053307306 PECOS PAC ID: 9830082205 Enrollment ID: I20040209000080 |
| Provider Name | Melissa a Johnson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659481224 PECOS PAC ID: 8325933930 Enrollment ID: I20040220000734 |
| Provider Name | Ahsan a Naseem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316053903 PECOS PAC ID: 5294729000 Enrollment ID: I20040414000155 |
| Provider Name | Michael J Sayers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689762874 PECOS PAC ID: 3971584301 Enrollment ID: I20040601000244 |
| Provider Name | Jodi G Wegner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811982846 PECOS PAC ID: 3375517253 Enrollment ID: I20040825001024 |
| Provider Name | Heidi J Hopper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174637029 PECOS PAC ID: 9436124757 Enrollment ID: I20040831000586 |
| Provider Name | Christopher C Seip |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023011897 PECOS PAC ID: 0446226054 Enrollment ID: I20040904000095 |
| Provider Name | Suzanne M Vandenhul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174531495 PECOS PAC ID: 1658349600 Enrollment ID: I20040917001102 |
| Provider Name | Anthony Charles Dresbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649368804 PECOS PAC ID: 9931177409 Enrollment ID: I20040922000578 |
| Provider Name | Jillenne S Mcadam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821036260 PECOS PAC ID: 7113995416 Enrollment ID: I20040923001140 |
| Provider Name | Julie J Hamann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538116876 PECOS PAC ID: 3173599412 Enrollment ID: I20041012000473 |
| Provider Name | Patrick J Bertolini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750330189 PECOS PAC ID: 7012977366 Enrollment ID: I20041012001074 |
| Provider Name | James J Maly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700872025 PECOS PAC ID: 8628961000 Enrollment ID: I20041014000552 |
| Provider Name | Jose Gary B Nadala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396882916 PECOS PAC ID: 2466417159 Enrollment ID: I20041122000859 |
| Provider Name | Jennifer L Newell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477662245 PECOS PAC ID: 3678527892 Enrollment ID: I20050309000994 |
| Provider Name | Zakaria Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124144522 PECOS PAC ID: 6608848502 Enrollment ID: I20050328000531 |
| Provider Name | Melissa Leigh Tompkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811904568 PECOS PAC ID: 8628015682 Enrollment ID: I20050411001257 |
| Provider Name | Sean P Kenney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235217118 PECOS PAC ID: 4082656533 Enrollment ID: I20050525000715 |
| Provider Name | William E Coady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386651941 PECOS PAC ID: 2961445689 Enrollment ID: I20050603000631 |
| Provider Name | Brant Noel Luebbe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942231436 PECOS PAC ID: 5193752491 Enrollment ID: I20050719000353 |
| Provider Name | Kelly J Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336202647 PECOS PAC ID: 3476581703 Enrollment ID: I20050728000772 |
| Provider Name | Angela K Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831205046 PECOS PAC ID: 4981632056 Enrollment ID: I20050729000759 |
| Provider Name | Sev M Linder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346264652 PECOS PAC ID: 0749210383 Enrollment ID: I20050815000184 |
| Provider Name | Tanja L Noecker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194733709 PECOS PAC ID: 3678599479 Enrollment ID: I20051020000885 |
| Provider Name | Lisa R Rauner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770547168 PECOS PAC ID: 9537188792 Enrollment ID: I20051116000763 |
| Provider Name | Amanda J Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407960883 PECOS PAC ID: 6901828946 Enrollment ID: I20051219000890 |
| Provider Name | Jana G Van Wie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720062458 PECOS PAC ID: 6608899356 Enrollment ID: I20060109000298 |
| Provider Name | Julie M Wiekamp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568412641 PECOS PAC ID: 1153336490 Enrollment ID: I20060208000377 |
| Provider Name | Matthew S Kniss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710936018 PECOS PAC ID: 8729090907 Enrollment ID: I20060707000337 |
| Provider Name | Jerald E Rector |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831154277 PECOS PAC ID: 6800891557 Enrollment ID: I20061002000324 |
| Provider Name | Rubab F Husain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669571212 PECOS PAC ID: 5799781712 Enrollment ID: I20061016000311 |
| Provider Name | Andrea a Settje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285692566 PECOS PAC ID: 8729084744 Enrollment ID: I20061016000369 |
| Provider Name | Barbara a Roth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164533741 PECOS PAC ID: 9133171374 Enrollment ID: I20061101000246 |
| Provider Name | Zhi G Xu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689612699 PECOS PAC ID: 8426052226 Enrollment ID: I20070122000380 |
| Provider Name | Anne M Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023043395 PECOS PAC ID: 8921102245 Enrollment ID: I20070327000154 |
| Provider Name | Melissa D Soester |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841252277 PECOS PAC ID: 3476565037 Enrollment ID: I20070814000759 |
| Provider Name | Robyn L Heiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497751903 PECOS PAC ID: 6608961255 Enrollment ID: I20070927000778 |
| Provider Name | Karen R Bohaty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972798288 PECOS PAC ID: 6406941764 Enrollment ID: I20071001000822 |
| Provider Name | Ryan D Crouch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790724201 PECOS PAC ID: 3971592874 Enrollment ID: I20071115000530 |
| Provider Name | Jane a Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760421283 PECOS PAC ID: 7719082551 Enrollment ID: I20071119000565 |
| Provider Name | David M Dick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295760551 PECOS PAC ID: 5496838880 Enrollment ID: I20080207000661 |
| Provider Name | Brent L Kinsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528136868 PECOS PAC ID: 5698859841 Enrollment ID: I20080226000682 |
| Provider Name | Amy L Agena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114195526 PECOS PAC ID: 4385722883 Enrollment ID: I20080424000243 |
| Provider Name | Kendra a Thiem |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891970620 PECOS PAC ID: 0244319820 Enrollment ID: I20080507000540 |
| Provider Name | Cassidy Douglas Mitchell |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508858432 PECOS PAC ID: 2264460765 Enrollment ID: I20080715000858 |
| Provider Name | Toby D Free |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356313993 PECOS PAC ID: 6901995737 Enrollment ID: I20080722000362 |
| Provider Name | Aaron J Ward |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245380120 PECOS PAC ID: 1557436987 Enrollment ID: I20080820000418 |
| Provider Name | Jane a Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093962102 PECOS PAC ID: 4880760271 Enrollment ID: I20080909000431 |
| Provider Name | Anne R Lorenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043467863 PECOS PAC ID: 3375611353 Enrollment ID: I20081003000338 |
| Provider Name | William Michael |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427162882 PECOS PAC ID: 2567530728 Enrollment ID: I20081009000726 |
| Provider Name | Angela E Johnsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295970291 PECOS PAC ID: 2466514161 Enrollment ID: I20081215000086 |
| Provider Name | Kelli Kay Schreiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699924878 PECOS PAC ID: 5193883940 Enrollment ID: I20090123000225 |
| Provider Name | Kendra R Piening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295966034 PECOS PAC ID: 9133273832 Enrollment ID: I20090814000304 |
| Provider Name | Brian J Herbin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295785525 PECOS PAC ID: 5991845588 Enrollment ID: I20091211000330 |
| Provider Name | Carol Ann Boelter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417964222 PECOS PAC ID: 1951441484 Enrollment ID: I20091215000039 |
| Provider Name | Alan C Linderman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629186432 PECOS PAC ID: 4587704390 Enrollment ID: I20091229000309 |
| Provider Name | Kristen a Bruening |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609103415 PECOS PAC ID: 7719029776 Enrollment ID: I20100128000902 |
| Provider Name | Gary Lee Pattee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396794749 PECOS PAC ID: 2567451479 Enrollment ID: I20100301000676 |
| Provider Name | James a Bobenhouse |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760431100 PECOS PAC ID: 7012906910 Enrollment ID: I20100330000640 |
| Provider Name | Brent C Bunz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336150739 PECOS PAC ID: 0042347791 Enrollment ID: I20100428000859 |
| Provider Name | Wasim M Chughtai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154486306 PECOS PAC ID: 7416086061 Enrollment ID: I20100520000453 |
| Provider Name | Todd a Sorensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447237284 PECOS PAC ID: 0244369676 Enrollment ID: I20100524000774 |
| Provider Name | Ruilin Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518036433 PECOS PAC ID: 3173653680 Enrollment ID: I20100610000084 |
| Provider Name | Deena Renae Sughroue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265516025 PECOS PAC ID: 2466557723 Enrollment ID: I20100622000929 |
| Provider Name | John Joesph Tennity |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194728915 PECOS PAC ID: 4789775966 Enrollment ID: I20100820001104 |
| Provider Name | Seth M Lauterbach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063733988 PECOS PAC ID: 0345364873 Enrollment ID: I20100903000749 |
| Provider Name | Donald L Gibbens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821101718 PECOS PAC ID: 2769378025 Enrollment ID: I20100914001120 |
| Provider Name | Gregory J Hattan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396854204 PECOS PAC ID: 2668368929 Enrollment ID: I20100916001145 |
| Provider Name | Gary D Milius |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740393610 PECOS PAC ID: 7214823574 Enrollment ID: I20100916001186 |
| Provider Name | Shannon E Wakeley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942350905 PECOS PAC ID: 1153447420 Enrollment ID: I20100923000745 |
| Provider Name | Oormila P Kovilam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659307189 PECOS PAC ID: 7113970195 Enrollment ID: I20101008001220 |
| Provider Name | Jackie K Oden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427043397 PECOS PAC ID: 0941495139 Enrollment ID: I20101112001237 |
| Provider Name | Paula a Railsback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437144466 PECOS PAC ID: 1557557097 Enrollment ID: I20101123001199 |
| Provider Name | Mary M Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023004371 PECOS PAC ID: 0345436739 Enrollment ID: I20101124000669 |
| Provider Name | Laura J Fick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366750283 PECOS PAC ID: 5496944837 Enrollment ID: I20110114001067 |
| Provider Name | Chelsea a Enninga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669777124 PECOS PAC ID: 5890975858 Enrollment ID: I20110208000472 |
| Provider Name | Joshua Morton Vest |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235461294 PECOS PAC ID: 5991983603 Enrollment ID: I20110629000067 |
| Provider Name | Steven G Schneider |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326073016 PECOS PAC ID: 4587738828 Enrollment ID: I20110816000301 |
| Provider Name | John D Goering |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821023524 PECOS PAC ID: 5496829731 Enrollment ID: I20110816000318 |
| Provider Name | Sirenia Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568617504 PECOS PAC ID: 0143487835 Enrollment ID: I20120208000483 |
| Provider Name | Abby E Cole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205101607 PECOS PAC ID: 1658532650 Enrollment ID: I20120419000120 |
| Provider Name | Alyssa Camille Rutan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790948446 PECOS PAC ID: 6507014495 Enrollment ID: I20120919000043 |
| Provider Name | Andrea M Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548567134 PECOS PAC ID: 7315196813 Enrollment ID: I20120926000787 |
| Provider Name | Kimberly K Piening |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669734794 PECOS PAC ID: 3971752668 Enrollment ID: I20121015000040 |
| Provider Name | Sarah M Eckles Van Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740362763 PECOS PAC ID: 2365678802 Enrollment ID: I20131112000232 |
| Provider Name | Lori R Mallory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407288863 PECOS PAC ID: 6709013469 Enrollment ID: I20131230001416 |
| Provider Name | Emily K Plautz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215352505 PECOS PAC ID: 5991936551 Enrollment ID: I20140324001385 |
| Provider Name | Kelsey Erin Trausch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063835502 PECOS PAC ID: 4688805138 Enrollment ID: I20140326000222 |
| Provider Name | Jeffrey Charles Wienke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629207261 PECOS PAC ID: 3173779212 Enrollment ID: I20140625000828 |
| Provider Name | Kimberly M Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205248093 PECOS PAC ID: 4284859455 Enrollment ID: I20140701001736 |
| Provider Name | Gabriel S Jefferson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003221029 PECOS PAC ID: 9638395940 Enrollment ID: I20140723000241 |
| Provider Name | Jessica a Heckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427343995 PECOS PAC ID: 4082844204 Enrollment ID: I20140811002355 |
| Provider Name | Shaun M Luebbe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942476239 PECOS PAC ID: 8628297264 Enrollment ID: I20140915001177 |
| Provider Name | Derek Ryan Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538457619 PECOS PAC ID: 0648499616 Enrollment ID: I20140924001530 |
| Provider Name | Emily J Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144636903 PECOS PAC ID: 4082834403 Enrollment ID: I20141008000124 |
| Provider Name | Brian L Reger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639573678 PECOS PAC ID: 3072835073 Enrollment ID: I20141202001512 |
| Provider Name | Mary H Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093000481 PECOS PAC ID: 5991029696 Enrollment ID: I20150129001820 |
| Provider Name | Andrew E Moellering |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861752461 PECOS PAC ID: 1355574740 Enrollment ID: I20150625001484 |
| Provider Name | Nichole C Kinnamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184007726 PECOS PAC ID: 0941514046 Enrollment ID: I20150803002355 |
| Provider Name | Cindy Keckler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699141069 PECOS PAC ID: 7719294131 Enrollment ID: I20150917002060 |
| Provider Name | Michael Joseph Cabrera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831564871 PECOS PAC ID: 9436450426 Enrollment ID: I20151216001683 |
| Provider Name | Jennifer Jean Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558726026 PECOS PAC ID: 3779882444 Enrollment ID: I20160502000647 |
| Provider Name | Marissa D Ebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992153688 PECOS PAC ID: 2961794243 Enrollment ID: I20160706002227 |
| Provider Name | Elizabeth a Diperna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396928636 PECOS PAC ID: 0244317790 Enrollment ID: I20160811001973 |
| Provider Name | Nicole Rae Loseke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891134987 PECOS PAC ID: 9234424540 Enrollment ID: I20160825002225 |
| Provider Name | Kelsey J Koll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538614763 PECOS PAC ID: 6305133992 Enrollment ID: I20160926001197 |
| Provider Name | Jill C Beisel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154524353 PECOS PAC ID: 2567536816 Enrollment ID: I20161013001907 |
| Provider Name | Jill K Brandl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033656004 PECOS PAC ID: 0446534291 Enrollment ID: I20170223000824 |
| Provider Name | Melissa R Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124454475 PECOS PAC ID: 9739464538 Enrollment ID: I20170317000580 |
| Provider Name | Paige K Fairhead |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013446004 PECOS PAC ID: 1759659337 Enrollment ID: I20170623000082 |
| Provider Name | Natasha N Andersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013446913 PECOS PAC ID: 0446520597 Enrollment ID: I20170721001305 |
| Provider Name | Matthew Williamson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487069100 PECOS PAC ID: 2668743519 Enrollment ID: I20170810001931 |
| Provider Name | Alesha N Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275820011 PECOS PAC ID: 6901055599 Enrollment ID: I20170913002377 |
| Provider Name | Jessica L Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992173264 PECOS PAC ID: 1850671637 Enrollment ID: I20171010000444 |
| Provider Name | Megan Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184145096 PECOS PAC ID: 2466719802 Enrollment ID: I20171120002788 |
| Provider Name | Molly Scheich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912352139 PECOS PAC ID: 6002173200 Enrollment ID: I20171127000079 |
| Provider Name | Brittany M Hauck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881112852 PECOS PAC ID: 8123385325 Enrollment ID: I20171127000306 |
| Provider Name | Danielle Bachman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437691011 PECOS PAC ID: 9133486103 Enrollment ID: I20171129001405 |
| Provider Name | Sandra Elizabeth Kirchner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801329982 PECOS PAC ID: 0143587121 Enrollment ID: I20171129001838 |
| Provider Name | Megan Elizabeth Foss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609374925 PECOS PAC ID: 5799047411 Enrollment ID: I20180316001663 |
| Provider Name | Chelsie M Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609375005 PECOS PAC ID: 5496017923 Enrollment ID: I20180322000125 |
| Provider Name | Stephanie a Millington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356704464 PECOS PAC ID: 4385935733 Enrollment ID: I20180403001043 |
| Provider Name | Meghen Bokemper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841617834 PECOS PAC ID: 7113220666 Enrollment ID: I20180613000267 |
| Provider Name | Swathi Lavudi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114367547 PECOS PAC ID: 9931496106 Enrollment ID: I20180710002446 |
| Provider Name | Trevor M Gregath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164866976 PECOS PAC ID: 1355698770 Enrollment ID: I20180717001515 |
| Provider Name | Matthew J Wittry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306289665 PECOS PAC ID: 5991934168 Enrollment ID: I20180724002975 |
| Provider Name | Miranda a Pollman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558856898 PECOS PAC ID: 2163766783 Enrollment ID: I20181207000512 |
| Provider Name | Allison R Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487124392 PECOS PAC ID: 8022355643 Enrollment ID: I20190121000826 |
| Provider Name | Lu Wang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780241042 PECOS PAC ID: 8022344381 Enrollment ID: I20190724001044 |
| Provider Name | Allison Kristine White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093374332 PECOS PAC ID: 8527395953 Enrollment ID: I20190808000944 |
| Provider Name | Eric So |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679969364 PECOS PAC ID: 4981913811 Enrollment ID: I20190822003051 |
| Provider Name | Torri M Janecek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124200308 PECOS PAC ID: 8426227968 Enrollment ID: I20191113000565 |
| Provider Name | Ashley M Marcuccio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801281126 PECOS PAC ID: 5092011122 Enrollment ID: I20200203001817 |
| Provider Name | Mason R Beel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932748910 PECOS PAC ID: 6204262207 Enrollment ID: I20200211002648 |
| Provider Name | Arin Elsberry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912538893 PECOS PAC ID: 3678900735 Enrollment ID: I20200302001538 |
| Provider Name | Kristin M Butterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508352808 PECOS PAC ID: 1052749470 Enrollment ID: I20200318002436 |
| Provider Name | Daniel J Owen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942753918 PECOS PAC ID: 9739415290 Enrollment ID: I20200324001502 |
| Provider Name | Dylan J Oatman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457981599 PECOS PAC ID: 7214366087 Enrollment ID: I20200330001555 |
| Provider Name | Meghan L Casey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053943266 PECOS PAC ID: 7012346331 Enrollment ID: I20200407001709 |
| Provider Name | Abigail B Hoefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558996009 PECOS PAC ID: 2860813698 Enrollment ID: I20200603003103 |
| Provider Name | Madeline L Jones Ryan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740677608 PECOS PAC ID: 0648520973 Enrollment ID: I20200609002609 |
| Provider Name | Lacey J Hutcheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699394981 PECOS PAC ID: 5193148161 Enrollment ID: I20200709000441 |
| Provider Name | Ryan T Santin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649698523 PECOS PAC ID: 1658590088 Enrollment ID: I20200716001136 |
| Provider Name | Katelyn Kristine Espinoza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902420847 PECOS PAC ID: 5395160535 Enrollment ID: I20200804003209 |
| Provider Name | Kayla M Heidinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639601412 PECOS PAC ID: 8628326295 Enrollment ID: I20201002000657 |
| Provider Name | Eric Christopher Tee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487075404 PECOS PAC ID: 8820380603 Enrollment ID: I20201211002215 |
| Provider Name | Kathryn a Palu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477147494 PECOS PAC ID: 6901212810 Enrollment ID: I20210301001335 |
| Provider Name | Rachel Nicole Jendro |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1518136928 PECOS PAC ID: 6901032523 Enrollment ID: I20210309000318 |
| Provider Name | Janelle J Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891371126 PECOS PAC ID: 7810304532 Enrollment ID: I20210325000717 |
| Provider Name | Rochelle Kay Schuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598220436 PECOS PAC ID: 0345657847 Enrollment ID: I20210330001112 |
| Provider Name | Brian Westerhuis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689055428 PECOS PAC ID: 2961717160 Enrollment ID: I20210611000418 |
| Provider Name | Azusa M Ronhovde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366027294 PECOS PAC ID: 9234531773 Enrollment ID: I20210707001439 |
| Provider Name | Michael William Vavra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114182359 PECOS PAC ID: 8022133321 Enrollment ID: I20210709002300 |
| Provider Name | Ismatt Reza Niazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821452970 PECOS PAC ID: 5991032831 Enrollment ID: I20210727002911 |
| Provider Name | Colin B Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871745356 PECOS PAC ID: 0840526281 Enrollment ID: I20210728000515 |
| Provider Name | Hailey J. Artz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467958603 PECOS PAC ID: 8527313972 Enrollment ID: I20210806001355 |
| Provider Name | Sarah N Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811579949 PECOS PAC ID: 0749684157 Enrollment ID: I20210806002489 |
| Provider Name | Makayla Diane Doolittle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518535111 PECOS PAC ID: 4385048339 Enrollment ID: I20210812001778 |
| Provider Name | Lynne E Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942801139 PECOS PAC ID: 6901201938 Enrollment ID: I20210830000091 |
| Provider Name | Rebecca L Bayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417520073 PECOS PAC ID: 6002212826 Enrollment ID: I20210902001382 |
| Provider Name | Matthew L Steffens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225527955 PECOS PAC ID: 6204184252 Enrollment ID: I20210914000882 |
| Provider Name | Ahmad Al-awwad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922412493 PECOS PAC ID: 1254688971 Enrollment ID: I20211005000450 |
| Provider Name | Jackie Lynn Ondracek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861161283 PECOS PAC ID: 2769889518 Enrollment ID: I20211028000742 |
| Provider Name | Kortnie M Breunig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780346676 PECOS PAC ID: 1052700416 Enrollment ID: I20211105001566 |
| Provider Name | Joseph W Wees |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396205571 PECOS PAC ID: 5193053932 Enrollment ID: I20211215002516 |
| Provider Name | Mary G Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952065906 PECOS PAC ID: 3870984834 Enrollment ID: I20211230000520 |
| Provider Name | Stephanie Deanne Bollinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437678448 PECOS PAC ID: 7517220445 Enrollment ID: I20220120002724 |
| Provider Name | Trevon D MC Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033775440 PECOS PAC ID: 5890029565 Enrollment ID: I20220302000373 |
| Provider Name | Jasmine L Braman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225794043 PECOS PAC ID: 3173918141 Enrollment ID: I20220310001109 |
| Provider Name | Collin Lane Bond Arredondo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588316376 PECOS PAC ID: 1153717939 Enrollment ID: I20220404001067 |
| Provider Name | Matthew V Purbaugh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437640067 PECOS PAC ID: 0345590162 Enrollment ID: I20220523001837 |
| Provider Name | Audrey a Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952946030 PECOS PAC ID: 4082093679 Enrollment ID: I20220628003321 |
| Provider Name | Dana K Marsh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619469160 PECOS PAC ID: 6002166824 Enrollment ID: I20220705001406 |
| Provider Name | Christine S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972256287 PECOS PAC ID: 6406239672 Enrollment ID: I20220822000553 |
| Provider Name | Neeley a Remmers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629531470 PECOS PAC ID: 1951727379 Enrollment ID: I20220822002311 |
| Provider Name | Ashley M Neeley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700522034 PECOS PAC ID: 7618350737 Enrollment ID: I20220822002621 |
| Provider Name | Brendan D Brodersen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518488501 PECOS PAC ID: 4183990633 Enrollment ID: I20220826001338 |
| Provider Name | Ansley M Mahler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982355707 PECOS PAC ID: 6709262728 Enrollment ID: I20220928003200 |
| Provider Name | Shawna M Garito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386274520 PECOS PAC ID: 5890171607 Enrollment ID: I20221003000722 |
| Provider Name | Paige M Mcelfresh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114659349 PECOS PAC ID: 6709253750 Enrollment ID: I20221103000576 |
| Provider Name | Laura M Baxa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780096503 PECOS PAC ID: 2466776968 Enrollment ID: I20221122001267 |
| Provider Name | Kristie L Raines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760933428 PECOS PAC ID: 8426395773 Enrollment ID: I20221201001904 |
| Provider Name | Taran L Braman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609596675 PECOS PAC ID: 5698144137 Enrollment ID: I20221206001191 |
| Provider Name | Katherine a Bangert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861162943 PECOS PAC ID: 8527458777 Enrollment ID: I20221215000638 |
| Provider Name | Colin G Egger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073247615 PECOS PAC ID: 6800266990 Enrollment ID: I20230106000436 |
| Provider Name | Molly R Babl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407255086 PECOS PAC ID: 2668843293 Enrollment ID: I20230118002985 |
| Provider Name | Stephanie Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689949505 PECOS PAC ID: 9133592017 Enrollment ID: I20230223000562 |
| Provider Name | Esthefany A. Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083325351 PECOS PAC ID: 0143685735 Enrollment ID: I20230504000580 |
| Provider Name | Huy A.N. Tran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386331387 PECOS PAC ID: 3779949631 Enrollment ID: I20230518001637 |
| Provider Name | Bradley K Woods |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477637148 PECOS PAC ID: 6002988755 Enrollment ID: I20230614000190 |
| Provider Name | Asha Dusad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427498120 PECOS PAC ID: 4981909231 Enrollment ID: I20230705002478 |
| Provider Name | Tamara Oehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215447826 PECOS PAC ID: 9830570365 Enrollment ID: I20230714000397 |
| Provider Name | Daniel a Crespo Artunduaga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679068530 PECOS PAC ID: 2163773540 Enrollment ID: I20230718001636 |
| Provider Name | Erin R Nissen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104510189 PECOS PAC ID: 4284095050 Enrollment ID: I20230727000813 |
| Provider Name | Allison a Brinkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134804701 PECOS PAC ID: 6204297922 Enrollment ID: I20230727003158 |
| Provider Name | Victoria B Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114542909 PECOS PAC ID: 6406275635 Enrollment ID: I20230822003303 |
| Provider Name | Anna K Linder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629639562 PECOS PAC ID: 0840521241 Enrollment ID: I20230824003493 |
| Provider Name | Erin M Cornelius |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073603650 PECOS PAC ID: 4082645320 Enrollment ID: I20230829002010 |
| Provider Name | Sarah a Frischmeyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679142178 PECOS PAC ID: 0042618548 Enrollment ID: I20230831003916 |
| Provider Name | Chelsea L Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770360836 PECOS PAC ID: 2466807847 Enrollment ID: I20231005001802 |
| Provider Name | Rachel E Karr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881474054 PECOS PAC ID: 7618322462 Enrollment ID: I20231013001109 |
| Provider Name | Zoryana J Dubina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306627799 PECOS PAC ID: 1052768223 Enrollment ID: I20231109000514 |
| Provider Name | Jeremy C Strom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932320439 PECOS PAC ID: 7113175670 Enrollment ID: I20231120000231 |
| Provider Name | Michelle R Oehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184167645 PECOS PAC ID: 7719237478 Enrollment ID: I20231205000382 |
| Provider Name | Dakota J Judds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669106704 PECOS PAC ID: 1456797844 Enrollment ID: I20240307002170 |
| Provider Name | Taylor D Schendt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730941212 PECOS PAC ID: 0345687901 Enrollment ID: I20240319002951 |
| Provider Name | Jennifer L Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336623289 PECOS PAC ID: 0840637377 Enrollment ID: I20240320001310 |
| Provider Name | Kristi R Niederklein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154658532 PECOS PAC ID: 0042345563 Enrollment ID: I20240321002122 |
| Provider Name | Kelly a Zessin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942226352 PECOS PAC ID: 5193778827 Enrollment ID: I20240405001644 |
| Provider Name | Sindri a Viktorsson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790277796 PECOS PAC ID: 2860740487 Enrollment ID: I20240615000488 |
| Provider Name | Erin K Dennis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740848720 PECOS PAC ID: 7416285259 Enrollment ID: I20240617000347 |
| Provider Name | Chrissy Guidry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356585533 PECOS PAC ID: 7719120146 Enrollment ID: I20240621001563 |
| Provider Name | Maniraj Neupane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154841765 PECOS PAC ID: 9032488341 Enrollment ID: I20240703002841 |
| Provider Name | Akshay S Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871164848 PECOS PAC ID: 1456895267 Enrollment ID: I20240703003965 |
| Provider Name | Emily E Franzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679142319 PECOS PAC ID: 1951790013 Enrollment ID: I20240715000969 |
| Provider Name | Guila K Dunning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336984681 PECOS PAC ID: 6204372931 Enrollment ID: I20240718001253 |
| Provider Name | Crista D Few |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871975128 PECOS PAC ID: 8527357607 Enrollment ID: I20240813003149 |
| Provider Name | Alexandra L Hansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043050818 PECOS PAC ID: 2062950728 Enrollment ID: I20240813004055 |
| Provider Name | Paul C Dillon |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285717561 PECOS PAC ID: 5193730331 Enrollment ID: I20241007001284 |
| Provider Name | Kyle Harris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891144283 PECOS PAC ID: 4385912898 Enrollment ID: I20241007001603 |
| Provider Name | Kendall J Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083314777 PECOS PAC ID: 6507399110 Enrollment ID: I20241104001406 |
| Provider Name | Kristin M Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902625973 PECOS PAC ID: 7810420452 Enrollment ID: I20241104002643 |
| Provider Name | Mopelola Bankole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487483988 PECOS PAC ID: 8224564901 Enrollment ID: I20241204002920 |
| Provider Name | Henrik O Berdel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740501345 PECOS PAC ID: 1052607751 Enrollment ID: I20250529002133 |
| Provider Name | Caroline R Neff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215342985 PECOS PAC ID: 5991012072 Enrollment ID: I20250530001802 |
| Provider Name | Claire S Baweja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285259671 PECOS PAC ID: 6608273651 Enrollment ID: I20250531000097 |
| Provider Name | Carlo J Gammaitoni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871573501 PECOS PAC ID: 0446293245 Enrollment ID: I20250531000121 |
| Provider Name | Arpit Singh Heer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861069833 PECOS PAC ID: 1052769163 Enrollment ID: I20250610002852 |
| Provider Name | Elvin Mirzazada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528636073 PECOS PAC ID: 2365956687 Enrollment ID: I20250709001902 |
| Provider Name | Yazan Alzedaneen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821607102 PECOS PAC ID: 6002322930 Enrollment ID: I20250718001377 |
| Provider Name | Marco V Pares |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003497603 PECOS PAC ID: 6800303819 Enrollment ID: I20250725000487 |
| Provider Name | Brenden M Heckenlively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790672202 PECOS PAC ID: 5597272476 Enrollment ID: I20250725003092 |
| Provider Name | Timothy C Govaerts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780633610 PECOS PAC ID: 5597793661 Enrollment ID: I20250801001670 |
| Provider Name | Lorelii O Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124474408 PECOS PAC ID: 1759661788 Enrollment ID: I20250813001677 |
| Provider Name | Melanie F Mccormick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275020331 PECOS PAC ID: 3678829421 Enrollment ID: I20250813002642 |
| Provider Name | Carley R Warner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588241343 PECOS PAC ID: 9032528419 Enrollment ID: I20250813002976 |
| Provider Name | Lukas E Hashem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063110708 PECOS PAC ID: 2062876691 Enrollment ID: I20250828000379 |
| Provider Name | Jayden E Slaba |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083597686 PECOS PAC ID: 4486156916 Enrollment ID: I20250904003919 |
| Provider Name | Nathan D Richling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538899786 PECOS PAC ID: 9234506353 Enrollment ID: I20250905000176 |
| Provider Name | Lakin M Braman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548152697 PECOS PAC ID: 4880197987 Enrollment ID: I20250913000554 |
| Provider Name | Corrine R Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710874995 PECOS PAC ID: 7416451570 Enrollment ID: I20250920000055 |
| Provider Name | Stephen D Forro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790246056 PECOS PAC ID: 2163962259 Enrollment ID: I20251007000251 |
| Provider Name | Robert B Gherman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861409146 PECOS PAC ID: 7315910460 Enrollment ID: I20251008002395 |
| Provider Name | Ryan J Podany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679457394 PECOS PAC ID: 8022507250 Enrollment ID: I20251029000348 |
| Provider Name | David L Potratz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336026921 PECOS PAC ID: 2769973742 Enrollment ID: I20251118001762 |
| Provider Name | Jami L Hermsmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023988573 PECOS PAC ID: 6406342310 Enrollment ID: I20251230003379 |
| Provider Name | Meghan L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972464329 PECOS PAC ID: 5294214607 Enrollment ID: I20260205004014 |
| Provider Name | Joe S Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114989753 PECOS PAC ID: 7012943830 Enrollment ID: I20260331004062 |
| Provider Name | Anila Ricks-cord |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790963338 PECOS PAC ID: 5092903807 Enrollment ID: I20260409001660 |
| Provider Name | Simran D Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508602798 PECOS PAC ID: 0042789653 Enrollment ID: I20260513001067 |
| Provider Name | Makayla a Rice |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073350518 PECOS PAC ID: 0840769345 Enrollment ID: I20260514000377 |
| Provider Name | Ramona R Vonseggern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821464363 PECOS PAC ID: 4486075934 Enrollment ID: I20260611000977 |
| Provider Name | Cynthia M Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063485571 PECOS PAC ID: 5193797462 Enrollment ID: I20260623003129 |
| Provider Name | Anthony Brignoni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598756918 PECOS PAC ID: 5294731964 Enrollment ID: I20260623004901 |
Cheney Ridge Family Medical Clinic, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3540 Village Dr, Suite 100, Lincoln, NE 68516 Phone: 402-420-7113 |
Pine Lake Behavioral Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9100 Andermatt Drive Suite 1, Lincoln, NE 68526 Phone: 402-434-2730 Fax: 402-434-3970 |
Plume Health, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 S 13th St Ste 1900, Lincoln, NE 68508 Phone: 720-248-4483 |
Ramic Lincoln, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 S 70th St, Suite 116, Lincoln, NE 68516 Phone: 402-327-8080 Fax: 402-327-8090 |
Doctors of Women, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8055 O St Ste 100, Lincoln, NE 68510 Phone: 402-488-4022 Fax: 402-488-4113 |
Sagewell Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7350 Willowbrook Ln Ste 101, Lincoln, NE 68516 Phone: 402-269-2011 |