Individual provider Active NPI

Michelle Rae Pieper, PAC

  • Medical Physician Assistant
  • Lincoln, NE
National Provider Identifier
1619986700
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1223 Issued in NE
Practice address
5200 South 56TH
Suite 2
Lincoln, NE 68516
Phone
(402) 421-6200
NPI assigned
Aug 7, 2006
Reactivated
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1223 NE Primary
Physician Assistant 363A00000X 1223 NE

Addresses

Primary practice location

5200 South 56TH
Suite 2
Lincoln, NE 68516

Mailing address

5200 South 56TH
Suite 2
Lincoln, NE 68516
Phone (402) 421-6200

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
I20080625000706 NE Practitioner - Physician Assistant 2769491042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgewood Family Physicians PCGroup PAC ID 5395816979, 3 clinicians

Practice addresses (Care Compare)

5200 S 56TH St
Suite 2
Lincoln, NE 68516-1884

5200 S 56TH St
Suite 2
Lincoln, NE 68516-1899
Phone (402) 421-6200

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1223NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Donald E. Burge, MD, PC Current Accepting new patients
Winnebago Indian Health Service Past Accepting new patients

Locations

5200 S 56th St
Ste 2
Lincoln, NE 68516
Phone (402) 421-6200

Interoperability endpoints

  • Direct secure messaging: michelle.pieper@1291.direct.myezyaccess.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1619986700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 SOUTH 56TH",
            "address_2": "SUITE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68516",
            "telephone_number": "402-421-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SOUTH 56TH",
            "address_2": "SUITE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68516",
            "telephone_number": "402-421-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEPER",
        "first_name": "MICHELLE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-05-01",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1223",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.