Aiden Gary Boettcher
Individual provider Active NPI Adult Companion · Wayne, NE
NPI 1902776552 · NPPES record last updated Nov 10, 2025
Key facts
- NPI
- 1902776552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 611 Valley Dr
Wayne, NE 68787-2277 - Phone
- (402) 833-1080
- NPI assigned
- Nov 10, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | NE | Yes |
Addresses
Primary practice location
611 Valley Dr
Wayne, NE 68787-2277
Mailing address
PO Box 16
Platte, SD 57369-0016
Phone (605) 682-8746
Other providers in Wayne, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.