Active NPI
Brandy S. Reineke, P.A.
- Medical Physician Assistant
- Omaha, NE
National Provider Identifier
1093704926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1226
- Practice address
- 6360 John J Pershing Dr FL 2
Omaha, NE 68110-1100 - Phone
- (402) 935-8100
- Fax
- (402) 935-8101
- NPI assigned
- Oct 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1226 | NE | Primary |
Addresses
Primary practice location
6360 John J Pershing Dr FL 2
Omaha, NE 68110-1100
Mailing address
8920 Fremont St Apt 225
Lincoln, NE 68507-2290
Phone (402) 202-1397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38587 | Other | NE | BCBS OF NEBRASKA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1226 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| Omaha Emergency Physicians PC | Past | Accepting new patients | |
| Emergency Physicians of Eastern Nebraska, PC | Past | Accepting new patients | |
| Urgent Care Group LLC | Past | Accepting new patients |
Locations
16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500
11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Lincoln, NE
- NPI 1588242929
-
- Urgent Care Clinic/Center
- Lincoln, NE
- NPI 1942942909
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1013916600
-
- Emergency Medicine Physician
- Bellevue, NE
- NPI 1366774416
-
- Emergency Medical Services (Emergency Medicine) Physician
- Omaha, NE
- NPI 1023002771
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1144528035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1093704926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8920 FREMONT ST APT 225",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685072290",
"telephone_number": "402-202-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 JOHN J PERSHING DR FL 2",
"city": "OMAHA",
"state": "NE",
"postal_code": "681101100",
"telephone_number": "402-935-8100",
"fax_number": "402-935-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINEKE",
"first_name": "BRANDY",
"middle_name": "S.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "1226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NEBRASKA",
"identifier": "38587",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.