Nelida Caridad Reyes Oliva, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1338 Issued in NE

Practice address

1411 Superior Street
Minute Clinic Inside CVS Pharmacy
Lincoln, NE 68504

Phone

(188) 838-9272

NPI assigned

Sep 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Value Based Long Term Care B PCGroup PAC ID 4082017884, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Value Based Long Term Care B PC

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1194498808
  Medicare reassignment Care Compare group
• Minuteclinic Diagnostic of Nebraska, LLC

  • Family Nurse Practitioner
  • Lincoln, NE
  • NPI 1124449533
  Medicare reassignment
• Nebraska House Call Physicians, P.C.

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1811931637
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NE

  Medicare reassignment
• Graham County Hospital

  • Family Medicine Physician
  • Hill City, KS
  • NPI 1629165998
  NPD (past)

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1427245968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 MERIDIAN DR",
            "address_2": "APT 45",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685044404",
            "telephone_number": "315-528-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SUPERIOR STREET",
            "address_2": "MINUTE CLINIC INSIDE CVS PHARMACY",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68504",
            "telephone_number": "188-838-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES OLIVA",
        "first_name": "NELIDA",
        "middle_name": "CARIDAD",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton Joseph Reuting
• Erica Reutter, M.A., LIMHP, LADC
• Tamela Rexilius
• Diana Reyes Gallegos
• Ashley Reyes Medina
• Ciro Reyes
• Cyndy Reyes
• Daisy Reyes
• Elena Reyes, PLMHP
• Debbie Kay Reynolds, PHD, MSN, FNP, PMHNP

• Physician Assistant in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.