Individual provider Active NPI

Emily Kate Plautz, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1215352505
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1804 Issued in NE
Practice address
3901 Pine Lake Rd Ste 410
Lincoln, NE 68516-5415
Phone
(402) 483-8700
NPI assigned
Feb 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1804 NE Primary

Addresses

Primary practice location

3901 Pine Lake Rd Ste 410
Lincoln, NE 68516-5415

Mailing address

3901 Pine Lake Rd Ste 410
Lincoln, NE 68516-5415
Phone (402) 483-8700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140324001385 NE Practitioner - Physician Assistant 5991936551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

3901 Pine Lake Rd
Suite 335
Lincoln, NE 68516-5497
Phone (402) 483-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1804NEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Lake Behavioral Health, LLC. CurrentSince Sep 8, 2024 Accepting new patients
Arias Neuropsychology & Behavioral Medicine, PC Past Accepting new patients

Locations

3901 Pine Lake Rd
Ste 410
Lincoln, NE 68516
Phone (402) 434-2730

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

Interoperability endpoints

  • Direct secure messaging: eplautz14807@hisp.bryanhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1215352505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD STE 410",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165415",
            "telephone_number": "402-483-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD STE 410",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165415",
            "telephone_number": "402-483-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAUTZ",
        "first_name": "EMILY",
        "middle_name": "KATE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.