Michelle Braget, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

3161 Issued in NE

Practice address

1301 E H St
MC Cook, NE 69001-3482

Phone

(308) 344-2650

NPI assigned

Sep 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Community Hospital Association

  • Emergency Medicine Physician
  • MC Cook, NE
  • NPI 1588771158

  NE, Physician Assistant

  Medicare reassignment NPD
• Community Hospital Association

  • Critical Access Hospital
  • McCook, NE
  • NPI 1841204500

  NE

  Medicare reassignment
• Community Hospital Association

  • Home Health Agency
  • MC Cook, NE
  • NPI 1194753889
  NPD

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1265259089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W 5TH ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013016",
            "telephone_number": "406-868-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E H ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013482",
            "telephone_number": "308-344-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGET",
        "first_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NE",
            "license": "3161",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "3161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason J Blomstedt, DO
• Tasha L. Blomstedt, PA-C
• Stacey Borowski, D.D.S.
• Elizabeth Borrink
• Darla Bowling
• Ellen Branham, CRNP
• Breanna Branson
• Margaret Mary Brooks, RD, LMNT
• Mandy Broussard
• Patricia Brown

• All providers in MC Cook, NE
• Surgical Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.

Verify at the official NPI Registry.