- Medicare in La Vista, NE

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is a medicare enrolled "Clinic/center - Multi-specialty" provider in La Vista, Nebraska. Their current practice location is 8140 S 97th Plz, La Vista, Nebraska. You can reach out to their office (for appointments etc.) via phone at (844) 502-7996.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1205425063.

Contact Information

8140 S 97th Plz,
La Vista, NE 68128-7104
(844) 502-7996
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Multi-specialty
Location8140 S 97th Plz, La Vista, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205425063
  • Provider Enumeration Date: 01/14/2021
  • Last Update Date: 10/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476969387
  • Enrollment ID: O20210301001631

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205425063NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
2251G0304XPhysical Therapist - Geriatrics (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
225XG0600XOccupational Therapist - Gerontology (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameAnn Marie Fryda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861784332
PECOS PAC ID: 9032183520
Enrollment ID: I20040820000926
Provider NameJessica R Thoene
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1427150580
PECOS PAC ID: 0446391676
Enrollment ID: I20100108000889
Provider NameLaura Jean Hoff
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538454574
PECOS PAC ID: 0446412480
Enrollment ID: I20120508000633
Provider NameMaggie Nicholson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578817748
PECOS PAC ID: 4284885369
Enrollment ID: I20121120000046
Provider NameJennifer Pt Colgrove
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477897932
PECOS PAC ID: 8921253485
Enrollment ID: I20130307000017
Provider NameScott Kleinschmidt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568600765
PECOS PAC ID: 2062734197
Enrollment ID: I20141201001090
Provider NameAmanda Turner
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1679761100
PECOS PAC ID: 8729306022
Enrollment ID: I20150417000196
Provider NameStephanie Walton
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1548602832
PECOS PAC ID: 7618287236
Enrollment ID: I20151111002347
Provider NameJenarae Vieth
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1083076806
PECOS PAC ID: 3971801358
Enrollment ID: I20160419000847
Provider NameAnalia R Krone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326359951
PECOS PAC ID: 2567753809
Enrollment ID: I20160616002382
Provider NameLaura Lee Holst
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1194107151
PECOS PAC ID: 4486964145
Enrollment ID: I20161130002583
Provider NameBrooke A Stilmock
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1134614332
PECOS PAC ID: 1355692146
Enrollment ID: I20180918001026
Provider NameErin C Mccann
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1992298657
PECOS PAC ID: 0244563534
Enrollment ID: I20190530002373
Provider NameAbigail Lucy Smith
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1225595937
PECOS PAC ID: 7416280573
Enrollment ID: I20190605002047
Provider NameKatelynn Rerucha
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1831741537
PECOS PAC ID: 9537495601
Enrollment ID: I20190726001315
Provider NameRiley Sarine Focht
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1841830551
PECOS PAC ID: 5496182941
Enrollment ID: I20200224001716
Provider NameChelsea Schutz
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1407259302
PECOS PAC ID: 7618370305
Enrollment ID: I20210719001366
Provider NameKasey Mclain
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740766179
PECOS PAC ID: 9335480086
Enrollment ID: I20210729002206
Provider NameAlison Schneider
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255781001
PECOS PAC ID: 5890199749
Enrollment ID: I20210813002712
Provider NameAlicyn Lea Dungan
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598169328
PECOS PAC ID: 8325445703
Enrollment ID: I20210928001716
Provider NameKelly Marie Barkmeier
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1568613305
PECOS PAC ID: 5193113496
Enrollment ID: I20211019000896
Provider NameLaura Kongs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154588028
PECOS PAC ID: 0345547840
Enrollment ID: I20211115000702
Provider NameStacey Broski
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1992004949
PECOS PAC ID: 3072991819
Enrollment ID: I20220607000378
Provider NameJody Lee Zeadow
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1962096537
PECOS PAC ID: 1153702220
Enrollment ID: I20220720002832
Provider NameLevi M Clifton
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1871236141
PECOS PAC ID: 3375925076
Enrollment ID: I20220727002826
Provider NameKatja M Bollinger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235631904
PECOS PAC ID: 6002299278
Enrollment ID: I20220822000253
Provider NameEmily Grove
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1841779980
PECOS PAC ID: 8224408620
Enrollment ID: I20221229001394
Provider NameEmily Pennington
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1902344674
PECOS PAC ID: 9133405863
Enrollment ID: I20230103000048
Provider NameCaitlin Lambert
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1609345792
PECOS PAC ID: 6406229020
Enrollment ID: I20230302000283
Provider NameAlaina Rollag
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932784048
PECOS PAC ID: 8325413560
Enrollment ID: I20230403002546
Provider NameDiana Arp
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1790367456
PECOS PAC ID: 5092170050
Enrollment ID: I20230426000826
Provider NameAngela M Pinkelman
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1902185192
PECOS PAC ID: 1456639491
Enrollment ID: I20230522000330
Provider NameMelinda Jan Westlund
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1780207852
PECOS PAC ID: 6406214360
Enrollment ID: I20230714001348
Provider NameSarah Marie Zajic
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1023584547
PECOS PAC ID: 2264886357
Enrollment ID: I20230922002178
Provider NameMichael Morales
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285932913
PECOS PAC ID: 5890603534
Enrollment ID: I20231012002971
Provider NameAmy Beth Meinzer
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1649433095
PECOS PAC ID: 3274977756
Enrollment ID: I20240223001312
Provider NameNathan Pierce
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043076854
PECOS PAC ID: 3072959386
Enrollment ID: I20240308002773
Provider NameJacob Stryker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821487752
PECOS PAC ID: 5991146086
Enrollment ID: I20240507001613
Provider NameLaura Scherer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1912431180
PECOS PAC ID: 3971045154
Enrollment ID: I20240603002995
Provider NameEmma Marie Watson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841901709
PECOS PAC ID: 5698218485
Enrollment ID: I20240621000699
Provider NameDakila Marcelino
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1497298269
PECOS PAC ID: 8426596859
Enrollment ID: I20240816002015
Provider NameJeanna Faesser
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1588326896
PECOS PAC ID: 7315487055
Enrollment ID: I20240910000315
Provider NameDani Mickelson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1508100306
PECOS PAC ID: 5799080719
Enrollment ID: I20240917003803
Provider NameKimberley Kaye Lawless
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1841502572
PECOS PAC ID: 7315478450
Enrollment ID: I20241001001038
Provider NameSuzanne Lee Kliewer
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1922285634
PECOS PAC ID: 7113459322
Enrollment ID: I20241014000541

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1335 Strassner Dr,
Brentwood, MO 63144-1872

Ph: (844) 502-7996
8140 S 97th Plz,
La Vista, NE 68128-7104

Ph: (844) 502-7996

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.