John Barrett Waldrep, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7120 S 69TH St Ste 101a
Lincoln, NE 68516-3868

Phone

(402) 520-8955

Fax

(833) 471-5257

NPI assigned

Jun 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medelite Urgent Care LLCGroup PAC ID 0345696589, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.waldrep.1@28242.direct.athenahealth.com

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.

• Medelite Urgent Care L.L.C.

  dba ME Wellness Care & Aesthetics

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1346940210
  Medicare reassignment Care Compare group NPD
• Johnson County Hospital

  • Critical Access Hospital
  • Tecumseh, NE
  • NPI 1285624825
  NPD (past)

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1649684184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 S 69TH ST STE 101A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163868",
            "telephone_number": "402-520-8955",
            "fax_number": "833-471-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 S 69TH ST STE 101A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163868",
            "telephone_number": "402-520-8955",
            "fax_number": "833-471-5257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7111 A St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685104283",
            "country_code": "US",
            "telephone_number": "402-489-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDREP",
        "first_name": "JOHN",
        "middle_name": "BARRETT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Jeanette Walbun
• Ann Walburn
• Jodi Lynn Walck
• Stefanie Lynn Waldman
• Ashley Waldrep, PA-C
• Kaitlin Waldrep
• Michael Lloyd Waldron, PHARMD
• Stacy Alice Waldron, PHD
• Angella D Waldrop
• Jonathan T Waldrop

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.

Verify at the official NPI Registry.