Andrea Marie Vacha, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

112407 Issued in NE

Practice address

350 W 23Rd St
Fremont, NE 68025-2592

Phone

(402) 721-7077

Fax

(402) 721-7324

NPI assigned

Feb 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Fremont Health Home Care Home health agency, Fremont, NE, CCN 287016
• Methodist Fremont Health Hospital, Fremont, NE, CCN 280077
• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Physicians Clinic Inc

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1821049156

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Alegent Creighton Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1548287907
  Medicare reassignment NPD
• Alegent Health Memorial Hospital Schuyler

  • Family Medicine Physician
  • Schuyler, NE
  • NPI 1780601781
  Medicare reassignment NPD
• Alegent Health Memorial Hospital, Schuyler

  • Critical Access Hospital
  • Schuyler, NE
  • NPI 1568547032
  Medicare reassignment NPD
• Methodist Fremont Health

  • Internal Medicine Physician
  • Fremont, NE
  • NPI 1235618216
  Medicare reassignment NPD
• Alegent Health Memorial Hospital, Schuyler

  • Medicare Defined Swing Bed Hospital Unit
  • Schuyler, NE
  • NPI 1548345028
  NPD
• Alegent Creighton Clinic

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1598811069
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1033698543
  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1376498543
  Care Compare affiliation
• Methodist Fremont Health

  • Home Health Agency
  • Fremont, NE
  • NPI 1619456696
  Care Compare affiliation
• Nebraska Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1922507086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252592",
            "telephone_number": "402-721-7077",
            "fax_number": "402-721-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHA",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "61243",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urgent Care of Fremont
• Urology Center PC
• Urology Health Center PC
• Zachary Otto Uttecht
• Justice Uwazurike, DNP
• Carly Vachal, MSN, RN
• Paxten Van Houten
• Lyrick Ryann Vance
• Enoch Vandever
• Carlie Vanek

• Nurse Practitioner in Fremont, NE
• Providers in Fremont, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.