Individual provider Active NPI

Wendy Marie Vanskiver, P.A.-C.

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1386821254
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1358 Issued in NE
Practice address
1336 W a St
Ste. a
Lincoln, NE 68522-1231
Phone
(402) 438-0101
Fax
(402) 817-1245
NPI assigned
Jan 23, 2008
Last updated
Aug 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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 1358 NE Primary

Addresses

Primary practice location

1336 W a St
Ste. a
Lincoln, NE 68522-1231

Mailing address

1336 W a St
Ste. a
Lincoln, NE 68522-1231
Phone (402) 438-0101

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
I20080428000551 NE Practitioner - Physician Assistant 8325126527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thayer County Memorial HospitalGroup PAC ID 3577559145, 11 clinicians

Practice addresses (Care Compare)

120 Park Ave
Hebron, NE 68370-2019
Phone (402) 768-6041

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as apm
Quality
82.13
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1358NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thayer County Memorial Hospital CurrentSince Jul 16, 2018 Accepting new patients
Thayer County Memorial Hospital CurrentSince Jul 16, 2018 Accepting new patients

Locations

120 Park Ave
Hebron, NE 68370
Phone (402) 768-6041

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1386821254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 W A ST",
            "address_2": "STE. A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221231",
            "telephone_number": "402-438-0101",
            "fax_number": "402-817-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 W A ST",
            "address_2": "STE. A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221231",
            "telephone_number": "402-438-0101",
            "fax_number": "402-817-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSKIVER",
        "first_name": "WENDY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.