Individual provider Active NPI

Rachel Ann Prinz, PA-C

  • Physician Assistant
  • Norfolk, NE
National Provider Identifier
1245678812
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1744 Issued in NE
Practice address
305 N 37TH St
Norfolk, NE 68701-3275
Phone
(402) 637-0800
Fax
(402) 637-0808
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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 1744 NE Primary

Addresses

Primary practice location

305 N 37TH St
Norfolk, NE 68701-3275

Mailing address

305 N 37TH St
Norfolk, NE 68701-3275
Phone (402) 637-0800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address onclinic@orthonebraska.cernerdirect.com

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
I20130723000415 NE Practitioner - Physician Assistant 2466693171 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
Group practices
Orthowest, LLCGroup PAC ID 8921086893, 109 clinicians

Practice addresses (Care Compare)

1410 N 13TH St
Norfolk, NE 68701-2669
Phone (402) 609-3000

2725 S 144TH St
Omaha, NE 68144-5253
Phone (402) 609-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1744NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthowest LLC Physician Assistant CurrentSince Sep 18, 2019 Accepting new patients
Orthowest LLC Physician Assistant CurrentSince Sep 18, 2019 Accepting new patients

Locations

305 N 37th St
Norfolk, NE 68701
Phone (402) 340-4047

1410 N 13th St
Ste 600
Norfolk, NE 68701

2725 S 144th St
Ste 212
Omaha, NE 68144
Phone (402) 354-4000

17701 Manderson St
Omaha, NE 68116

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1245678812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 37TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013275",
            "telephone_number": "402-637-0800",
            "fax_number": "402-637-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 37TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013275",
            "telephone_number": "402-637-0800",
            "fax_number": "402-637-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINZ",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "onclinic@orthonebraska.cernerdirect.com",
            "affiliation": "N",
            "address_1": "305 N 37th St",
            "city": "Norfolk",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687013275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.