Active NPI
Dylan Oatman, PA-C
- Physician Assistant
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2427
- Practice address
- 3901 Pine Lake Rd Ste 410
Lincoln, NE 68516-5415 - Phone
- (402) 483-8700
- Fax
- (402) 483-8733
- NPI assigned
- Jan 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2427 | NE | Primary |
Addresses
Primary practice location
3901 Pine Lake Rd Ste 410
Lincoln, NE 68516-5415
Mailing address
3901 Pine Lake Rd Ste 410
Lincoln, NE 68516-5415
Phone (402) 483-8700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111
3901 Pine Lake Rd
Suite 335
Lincoln, NE 68516-5497
Phone (402) 483-3700
770 N Cotner Blvd
220 Nebraska Internal Medicine
Lincoln, NE 68505-2344
Phone (402) 441-3400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2427 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Lake Behavioral Health, LLC. | Current | Accepting new patients |
Locations
3901 Pine Lake Rd
Ste 410
Lincoln, NE 68516
Phone (402) 434-2730
2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042
Interoperability endpoints
- doatman114996@hisp.bryanhealth.org
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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1679528798
-
dba Pine Lake Behavioral Health
- Clinic/Center
- Lincoln, NE
- NPI 1003310061
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
dba Bryan Medical Center Laboratory
- Clinical Medical Laboratory
- Lincoln, NE
- NPI 1689203077
Hospital
-
- Critical Access Hospital
- Crete, NE
- NPI 1063463958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1457981599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 PINE LAKE RD STE 410",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165415",
"telephone_number": "402-483-8700",
"fax_number": "402-483-8733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 PINE LAKE RD STE 410",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165415",
"telephone_number": "402-483-8700",
"fax_number": "402-483-8733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OATMAN",
"first_name": "DYLAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-16",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "2427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.
- 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.