Alicia Faye Buller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1619 Issued in NE

Practice address

550 N 19TH St
Lincoln, NE 68588-0046

Phone

(402) 472-4593

NPI assigned

Jan 23, 2012

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

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abuller166353@direct.nebraskamed.com

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.

• East Lincoln Family Health Professionals, PC

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1114032281
  Medicare reassignment
• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  Medicare reassignment
• East Lincoln Family Health Professionals, PC

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1518497288
  NPD

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1861763856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 S 86TH ST STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269277",
            "telephone_number": "402-483-7507",
            "fax_number": "402-483-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N 19TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685880046",
            "telephone_number": "402-472-4593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4525 S 86th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685269277",
            "country_code": "US",
            "telephone_number": "402-483-7507",
            "fax_number": "402-483-6899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9241 White Hall Ln",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685269565",
            "country_code": "US",
            "telephone_number": "402-604-5665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLER",
        "first_name": "ALICIA",
        "middle_name": "FAYE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Bukarek, PHD
• Jaime L Bukrey, MS, CCC, SLP
• Ajack Lual John Bul Jr.
• Jessica Bull
• Nathaniel Bullard
• Haley Lynn Buller
• Kelly Suzanne Bullock
• David Buls
• Tosha Leann Buls
• Joshua Jerome Bumgardner

• 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 Jan 30, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.