Individual provider Active NPI

Christine M Svoboda, PA-C

  • Physician Assistant
  • Papillion, NE
National Provider Identifier
1942439641
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1447 Issued in NE
Practice address
8419 S 73Rd PLZ Ste 101
Papillion, NE 68046-1507
Phone
(402) 991-9060
Fax
(402) 991-9052
NPI assigned
Jul 2, 2009
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1447 NE Primary
Family Medicine Physician 207Q00000X 1447 NE

Addresses

Primary practice location

8419 S 73Rd PLZ Ste 101
Papillion, NE 68046-1507

Mailing address

8419 S 73Rd PLZ Ste 101
Papillion, NE 68046-1507
Phone (402) 991-9060

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090819000218 NE Practitioner - Physician Assistant 3072667401 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Nebraska Providers LLCGroup PAC ID 3971985219, 5 clinicians
Wright Turn Lane PCGroup PAC ID 6305019613, 9 clinicians

Practice addresses (Care Compare)

110 N 66TH St
Nextcare Urgent Care 66TH St
Lincoln, NE 68505-2402
Phone (402) 325-8950

8419 S 73Rd PLZ
Suite 101
Papillion, NE 68046-1507
Phone (402) 991-9060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1447NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Turn Lane PC Family Medicine CurrentSince Jul 31, 2014 Accepting new patients

Locations

8419 S 73rd Plz
Ste 101
Papillion, NE 68046
Phone (402) 991-9060

309 S Lincoln Ave
York, NE 68467
Phone (402) 720-9986

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1942439641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8419 S 73RD PLZ STE 101",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680461507",
            "telephone_number": "402-991-9060",
            "fax_number": "402-991-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8419 S 73RD PLZ STE 101",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680461507",
            "telephone_number": "402-991-9060",
            "fax_number": "402-991-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVOBODA",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1447",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "1447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.