| 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 |
| 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 | 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 | 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 | Sean P Kenney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235217118 PECOS PAC ID: 4082656533 Enrollment ID: I20050525000715 |
| Provider Name | George H Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710994330 PECOS PAC ID: 9830131267 Enrollment ID: I20050525001303 |
| 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 | 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 | 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 | Zhi G Xu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689612699 PECOS PAC ID: 8426052226 Enrollment ID: I20070122000380 |
| Provider Name | Mary J Scherling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104934744 PECOS PAC ID: 5698876340 Enrollment ID: I20070724000763 |
| 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 | Wendy J Hoins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609068436 PECOS PAC ID: 4688760184 Enrollment ID: I20071015000206 |
| 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 | 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 | 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 | Carol Ann Boelter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417964222 PECOS PAC ID: 1951441484 Enrollment ID: I20091215000039 |
| Provider Name | Howard L Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912015751 PECOS PAC ID: 6507906310 Enrollment ID: I20091229000285 |
| Provider Name | Alan C Linderman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629186432 PECOS PAC ID: 4587704390 Enrollment ID: I20091229000309 |
| 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 | 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 | Erika Viljoen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972563153 PECOS PAC ID: 8527158369 Enrollment ID: I20100625000198 |
| Provider Name | Holly M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306164942 PECOS PAC ID: 1052444130 Enrollment ID: I20100727000802 |
| Provider Name | Michael A Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497719660 PECOS PAC ID: 7416908884 Enrollment ID: I20100817001059 |
| Provider Name | Kevin R Mota |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144288028 PECOS PAC ID: 7012065238 Enrollment ID: I20100820000758 |
| Provider Name | John Joesph Tennity |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194728915 PECOS PAC ID: 4789775966 Enrollment ID: I20100820001104 |
| 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 | Corwin D Friesen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558470799 PECOS PAC ID: 6204722564 Enrollment ID: I20100916001221 |
| Provider Name | Shannon E Wakeley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942350905 PECOS PAC ID: 1153447420 Enrollment ID: I20100923000745 |
| 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 | Andrew C Bohart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891803896 PECOS PAC ID: 2062515901 Enrollment ID: I20101208000905 |
| Provider Name | Laura J Fick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366750283 PECOS PAC ID: 5496944837 Enrollment ID: I20110114001067 |
| 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 | Dayana E Patera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356571533 PECOS PAC ID: 3476709114 Enrollment ID: I20120810000714 |
| 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 | Charlyne R Spangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851723530 PECOS PAC ID: 0042454886 Enrollment ID: I20130918000441 |
| 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 | Kelsey Erin Trausch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063835502 PECOS PAC ID: 4688805138 Enrollment ID: I20140326000222 |
| Provider Name | Benjamin D Byers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922098706 PECOS PAC ID: 6709974827 Enrollment ID: I20140619000463 |
| Provider Name | Jeffrey Charles Wienke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629207261 PECOS PAC ID: 3173779212 Enrollment ID: I20140625000828 |
| Provider Name | Jessica A Heckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427343995 PECOS PAC ID: 4082844204 Enrollment ID: I20140811002355 |
| 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 | Mary H Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093000481 PECOS PAC ID: 5991029696 Enrollment ID: I20150129001820 |
| 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 | 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 | Nicole Rae Loseke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891134987 PECOS PAC ID: 9234424540 Enrollment ID: I20160825002225 |
| Provider Name | Melissa R Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124454475 PECOS PAC ID: 9739464538 Enrollment ID: I20170317000580 |
| 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 | Sandra Elizabeth Kirchner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801329982 PECOS PAC ID: 0143587121 Enrollment ID: I20171129001838 |
| Provider Name | Chelsie M Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609375005 PECOS PAC ID: 5496017923 Enrollment ID: I20180322000125 |
| 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 | Steven F Shannon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225479876 PECOS PAC ID: 6709010317 Enrollment ID: I20190619002529 |
| 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 | Alex M Devries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083273395 PECOS PAC ID: 4385973759 Enrollment ID: I20190910002207 |
| Provider Name | Kerry L Emeigh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629621354 PECOS PAC ID: 4880925742 Enrollment ID: I20191008002810 |
| 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 | Lauren P Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245870369 PECOS PAC ID: 7810323649 Enrollment ID: I20200213002948 |
| 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 | Jeffrey T Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770192049 PECOS PAC ID: 0941627277 Enrollment ID: I20200901000559 |
| Provider Name | Angela Marie Tuzson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881202950 PECOS PAC ID: 9830501162 Enrollment ID: I20201210001367 |
| Provider Name | Eric C Tee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487075404 PECOS PAC ID: 8820380603 Enrollment ID: I20201211002215 |
| Provider Name | George S Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063514040 PECOS PAC ID: 3375597032 Enrollment ID: I20210217000303 |
| Provider Name | Robert A Izenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922006188 PECOS PAC ID: 2264583483 Enrollment ID: I20210218000262 |
| Provider Name | Rachel Nicole Jendro |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1518136928 PECOS PAC ID: 6901032523 Enrollment ID: I20210309000318 |
| Provider Name | Rochelle Kay Schuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598220436 PECOS PAC ID: 0345657847 Enrollment ID: I20210330001112 |
| 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 | Bradley W Hohwieler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568952364 PECOS PAC ID: 4880944602 Enrollment ID: I20210713000278 |
| Provider Name | Ismatt Reza Niazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821452970 PECOS PAC ID: 5991032831 Enrollment ID: I20210727002911 |
| Provider Name | Hailey J. Artz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467958603 PECOS PAC ID: 8527313972 Enrollment ID: I20210806001355 |
| Provider Name | Jeffrey P Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679247522 PECOS PAC ID: 4385049931 Enrollment ID: I20210820000905 |
| Provider Name | William Naylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114307386 PECOS PAC ID: 0941506471 Enrollment ID: I20210823000186 |
| 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 | 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 Grace 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 | Teresa M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669075586 PECOS PAC ID: 9537553557 Enrollment ID: I20220308000801 |
| Provider Name | Rebecca Lechner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740951110 PECOS PAC ID: 8224436712 Enrollment ID: I20220322002834 |
| 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 | Tamara J Ruoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184360646 PECOS PAC ID: 4284015751 Enrollment ID: I20220714001679 |
| Provider Name | Katievia Q Rush-wilks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871225086 PECOS PAC ID: 0840671384 Enrollment ID: I20220715000243 |
| Provider Name | Keli N Kolegraff |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821331786 PECOS PAC ID: 3971730722 Enrollment ID: I20220818002392 |
| 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 | Brendan Brodersen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518488501 PECOS PAC ID: 4183990633 Enrollment ID: I20220826001338 |
| Provider Name | Shawna M Garito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386274520 PECOS PAC ID: 5890171607 Enrollment ID: I20221003000722 |
| Provider Name | Carrie Ann Wiechmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104133933 PECOS PAC ID: 5698955573 Enrollment ID: I20221005002655 |
| Provider Name | Kristie L Raines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760933428 PECOS PAC ID: 8426395773 Enrollment ID: I20221201001904 |
| Provider Name | Robert Majors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437605201 PECOS PAC ID: 9133408446 Enrollment ID: I20221215000391 |
| Provider Name | Katherine A Bangert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861162943 PECOS PAC ID: 8527458777 Enrollment ID: I20221215000638 |
| 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 | Paige E Buresh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124750559 PECOS PAC ID: 8325406911 Enrollment ID: I20230613003467 |
| Provider Name | Bradley K Woods |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477637148 PECOS PAC ID: 6002988755 Enrollment ID: I20230614000190 |
| Provider Name | Elliot J Scott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558758904 PECOS PAC ID: 7719292077 Enrollment ID: I20230614000683 |
| Provider Name | Daniel A Crespo Artunduaga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679068530 PECOS PAC ID: 2163773540 Enrollment ID: I20230718001636 |
| Provider Name | Anthony Bieck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053847178 PECOS PAC ID: 7012288251 Enrollment ID: I20230718003142 |
| 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 | Chelsea L Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770360836 PECOS PAC ID: 2466807847 Enrollment ID: I20231005001802 |
| Provider Name | Reynold Henry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982131058 PECOS PAC ID: 6204189988 Enrollment ID: I20231108001246 |
| Provider Name | Jeremy C Strom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932320439 PECOS PAC ID: 7113175670 Enrollment ID: I20231120000231 |
| Provider Name | Nathan M Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932891330 PECOS PAC ID: 1850749060 Enrollment ID: I20231129000934 |
| Provider Name | Michelle R Oehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184167645 PECOS PAC ID: 7719237478 Enrollment ID: I20231205000382 |
| Provider Name | Sergey Kozyr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174937130 PECOS PAC ID: 8820332414 Enrollment ID: I20240109000725 |
| Provider Name | Khaled F Basiouny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467657890 PECOS PAC ID: 0941495543 Enrollment ID: I20240203000434 |
| Provider Name | Jennifer L Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336623289 PECOS PAC ID: 0840637377 Enrollment ID: I20240320001310 |
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 | |
Nebraska Urban Indian Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2331 Fairfield St, Lincoln, NE 68521 Phone: 402-434-7177 Fax: 402-434-7180 | |
Mobile Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7480 N 56th St Ste 9, Lincoln, NE 68514 Phone: 402-476-1455 Fax: 402-476-1670 |