Individual provider Active NPI

Bailee N Cook, PAC

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1942954888
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2727 Issued in NE
Practice address
4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587
Phone
(402) 420-7000
Fax
(402) 420-6969
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2727 NE Primary

Addresses

Primary practice location

4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587

Mailing address

4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587
Phone (402) 420-7000

Other names 1

  • Bailee N Sobotka Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@sncc.oncoemrdirect.com

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
I20220210002136 NE Practitioner - Physician Assistant 6608269873 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.58 of 100Reported as group
Quality
99.74
Promoting interoperability
83
Improvement activities
40
Cost
64.7

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phelps Memorial Health Center Physician Assistant CurrentSince Jan 1, 2023 Accepting new patients
Cancer Partners of Nebraska PC CurrentSince Feb 7, 2022 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients

Locations

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

3901 Pine Lake Rd
Ste 111
Lincoln, NE 68516
Phone (402) 420-6090

201 S 68th Street Pl
Ste 200
Lincoln, NE 68510
Phone (402) 420-7000

4101 Tiger Lily Rd
Ste 100
Lincoln, NE 68516
Phone (402) 420-7000

Interoperability endpoints

  • Direct secure messaging: admin@sncc.oncoemrdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1942954888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TIGER LILY RD STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165587",
            "telephone_number": "402-420-7000",
            "fax_number": "402-420-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TIGER LILY RD STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165587",
            "telephone_number": "402-420-7000",
            "fax_number": "402-420-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "BAILEE",
        "middle_name": "N",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@sncc.oncoemrdirect.com",
            "affiliation": "N",
            "address_1": "4101 Tiger Lily Rd Ste 100",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685165587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BAILEE",
            "last_name": "SOBOTKA",
            "middle_name": "N",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.