Nicole Angela Walz, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1305 Highway 6/34
Cambridge, NE 69022-6616

Phone

(308) 697-3329

Fax

(308) 697-3278

NPI assigned

Feb 4, 2013

Last updated

Jun 8, 2015By the provider in NPPES

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

Other names 1

• Nicole Angela Hoffmann Former name

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicoleh@yourcarecommunity.org
• Direct secure messaging: nwalz175093@hisp.bryanhealth.org

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.

• Twin Rivers Urgent Care LLC

  • Family Medicine Physician
  • Grand Island, NE
  • NPI 1639248560
  Medicare reassignment NPD
• Bryan Hospital Kearney

  dba Kearney Regional Medical Center Platte Valley Medical Clinic

  • Family Medicine Physician
  • Kearney, NE
  • NPI 1033875380
  Medicare reassignment
• Bryan Hospital Kearney

  dba Kearney Regional Medical Center

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1407513484
  NPD
• Twin Rivers Urgent Care LLC

  dba Twin Rivers Sports & Family Medicine

  • Family Medicine Physician
  • Grand Island, NE
  • NPI 1588310338
  NPD
• Speech Language Therapy of Central New York LLC

  • Speech-Language Pathologist
  • Frankfort, NY
  • NPI 1649723727
  NPD (past)

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1508105115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "CAMBRIDGE",
            "state": "NE",
            "postal_code": "690220488",
            "telephone_number": "308-697-3329",
            "fax_number": "308-697-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 HIGHWAY 6/34",
            "city": "CAMBRIDGE",
            "state": "NE",
            "postal_code": "690226616",
            "telephone_number": "308-697-3329",
            "fax_number": "308-697-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALZ",
        "first_name": "NICOLE",
        "middle_name": "ANGELA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HOFFMANN",
            "middle_name": "ANGELA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wendy Elizabeth Shifflet, PLMHP
• Destany Simpson
• Amy E Strand, DPT
• Zoey Urling
• Victoria Nicole Viox, PA-C
• Nicole Warner, M.S. CCC-SLP
• Lindsey White, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.