PA Enterprises
Organization Active NPI Family Medicine Physician · Milligan, NE
NPI 1447653183 · NPPES record last updated Jul 15, 2026
Key facts
- NPI
- 1447653183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PA ENTERPRISES
- Practice address
- 519 Main St
Milligan, NE 68406-3953 - Phone
- (402) 745-6279
- NPI assigned
- Oct 8, 2014
- Organization subpart
- No
Authorized official
- Name
- Scott Vonderfecht, MD
- Title
- Owner
- Phone
- (402) 745-6279
Practitioners 14
-
Scott L Vonderfecht, M.D.
-
Brady W Hanquist, P.A.C.
-
Taylor Nicole Chrisman, PA-C
-
Mary Ann Dale, PA-C
-
Kimberly J Dierks, P.A.-C
-
Emma Sameera Edwards, P.A.
-
Trisha Gall, PA-C
-
Matthew Gatlin, PA-C
-
Brandon Lee McLaughlin, P.A.
-
Alysha A McLean, PA-C
-
Christine M Svoboda, PA-C
-
Vaughan A Wenzel, PA-C
-
Brent L Madsen, PA-C
-
Ronnie L Reese, PAC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2150827 | Milligan Family Medicine | Certificate of waiver | Jul 2, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150323002255 | NE | Part B Supplier - Clinic/Group Practice | 6608193065 |
Receives reassigned benefits from 14 practitioners Practice locations: Deshler, NE; Milligan, NE |
National Provider Directory
Locations
309 S Lincoln Ave
York, NE 68467
Phone (402) 720-9986
401 N Lincoln Ave
Ste 1
York, NE 68467
Phone (402) 745-6279
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
519 Main St
Milligan, NE 68406-3953
Mailing address
PO Box 3907
Poplar Bluff, MO 63902-3907
Phone (402) 745-6279
Other practice location 1
5419 Hwy 136
Deshler, NE 68340
Phone (402) 629-4280
Other practice location 2
309 S, Lincoln Ave
York, NE 68467-4225
Phone (402) 745-6279
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100264573-00 | Medicaid | NE |
Other names
- Deshler Family Medicine
- Milligan Family Medicine
- Urgent care of York
Other providers in Milligan, NE
- Lynn Carolyn Betka
- Rachel Lyn McGinnis
- Jennifer Ann Pribyl
- Dori Ann Stimple
- Thayer County Memorial Hospital
- Scott L Vonderfecht
All providers in Milligan, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.