Individual provider Active NPI

Rebecca A Reinke, PA

  • Medical Physician Assistant
  • Lincoln, NE
National Provider Identifier
1649215807
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1052 Issued in NE
Practice address
7100 Stephanie LN Ste 100
Lincoln, NE 68516-5332
Phone
(402) 484-9009
Fax
(402) 483-4223
NPI assigned
Jun 19, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1052 NE Primary

Addresses

Primary practice location

7100 Stephanie LN Ste 100
Lincoln, NE 68516-5332

Mailing address

PO Box 6068
Lincoln, NE 68506-0068
Phone (402) 484-9009

Other identifiers 3

IdentifierTypeStateIssuer
P00336698OtherNERAILROAD MEDICARE
47065843713MedicaidNE
38741OtherNEBLUE SHIELD

Other names 1

  • Rebecca A Lund Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1052NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heibel Dermatology Clinic LLC PastSince Nov 1, 2021 Accepting new patients
Eye Surgical Associates, LLC PastSince Jul 24, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rreinke@directaddress.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649215807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6068",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060068",
            "telephone_number": "402-484-9009",
            "fax_number": "402-483-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 STEPHANIE LN STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165332",
            "telephone_number": "402-484-9009",
            "fax_number": "402-483-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKE",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00336698",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065843713",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "38741",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LUND",
            "middle_name": "A",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.