DANA D PETERSEN PAC NPI 1255426524

NPI Information

NPI: 1255426524
Provider Name: DANA D PETERSEN, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: CHI HEALTH CLINIC SPECIALTY LLC

PECOS Registration: Yes

Address:
7440 S 91ST ST
LINCOLN, NE
ZIP 68526
Phone: (402) 489-6555
Get Directions

Dana D Petersen, PAC is a medical physician assistant in Lincoln, NE with 25 years of experience. Dana D Petersen, PAC NPI is 1255426524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7440 S 91ST ST
LINCOLN, NE
ZIP 68526-797
Phone: (402) 489-6555
Fax: (402) 328-3770

The NPI 1255426524 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 2/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		902	NEBRASKA	No
2	363AM0700X	Physician Assistant	Medical	902	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	10026072600	MEDICAID	NEBRASKA
2	10026072500	MEDICAID	NEBRASKA
3	NA1939018	MEDICARE PIN	NEBRASKA
4	NA1079042	MEDICARE PIN	NEBRASKA
5	P20338	MEDICARE UPIN
6	NA1080033	MEDICARE PIN	NEBRASKA
7	KA2283005	MEDICARE PIN	KANSAS
8	275563	MEDICARE PIN	NEBRASKA
9	970022274	MEDICARE PIN	NEBRASKA
10	10026072000	MEDICAID	NEBRASKA
11	200598590A	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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