MRS. BONNIE LANE VRBICKY (NPI# 1962032292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962032292 |
| Entity Type | Individual |
| Full Name | MRS. BONNIE LANE VRBICKY |
| Other Name | MS. BONNIE LANE SISCO |
| Credential | PA-C |
| Practice Address |
1200 Providence Rd Wayne NE 68787-1212 |
| Mailing Address |
717 E 37th St Kearney NE 68847-3113 |
| Practice Telephone | 4023753800 |
| Mailing Telephone | 4028526637 |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2020-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 PROVIDENCE RD |
| City | WAYNE |
| State | NE |
| Zip Code | 68787-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700832839 | Todd Luedeke | Nurse Anesthetist, Certified Registered | 1200 Providence Rd, Wayne, NE 68787-1212 | 2006-05-26 |
| 1700404811 | Catherine Andela-ruth | Nurse Practitioner | 1200 Providence Rd, Wayne, NE 68787-1212 | 2020-07-06 |
| 1497308662 | Midtown Health Center, Inc. | Clinic/Center | 1200 Providence Rd, Wayne, NE 68787-1212 | 2019-07-17 |
| 1326504267 | Kathy I Mohlfeld | Counselor | 1200 Providence Rd, Wayne, NE 68787-1299 | 2019-02-15 |
| 1114388303 | Timothy Ellis | Specialist/Technologist | 1200 Providence Rd, Wayne, NE 68787-1212 | 2016-03-15 |
| 1588022503 | John Miller | Physical Therapist | 1200 Providence Rd, Wayne, NE 68787-1212 | 2016-02-04 |
| 1598134751 | Morgan Ebberson | Occupational Therapist | 1200 Providence Rd, Wayne, NE 68787-1212 | 2015-09-17 |
| 1477922631 | Britni Nordhues | Occupational Therapist | 1200 Providence Rd, Wayne, NE 68787-1212 | 2015-09-17 |
| 1083977474 | Amy Joan Bowers | Physical Therapist | 1200 Providence Rd, Wayne, NE 68787 | 2012-06-20 |
| 1205195831 | Michelle Theis | Occupational Therapist | 1200 Providence Rd, Wayne, NE 68787 | 2012-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396209623 | Pearl Street Counseling, LLC | Counselor | 421 N Pearl Street, Wayne, NE 68787 | 2019-01-31 |
| 1760883367 | Northeast Nebraska Public Health Department | Public Health or Welfare | 215 Pearl Street, Wayne, NE 68787 | 2014-09-15 |
| 1942419353 | Muffin Elaine Morris | Specialist/Technologist | 11 11 Main Street, Wayne State College, Wayne, NE 68787 | 2007-05-22 |
| 1801952601 | Craig W Braun | Dentist | 206 E 7th St, Wayne, NE 68787 | 2006-12-28 |
| 1124120464 | Robert Kevin Krugman | Chiropractor | 214 Pearl Street, Wayne, NE 68787 | 2006-09-05 |
| 1659722908 | Michele Albers | Physical Therapist | 1200 Providence Road, Wayne, NE 68787 | 2016-06-28 |
| 1730599762 | Angela Mclaughlin | Family Medicine | 615 E 14th St, Wayne, NE 68787 | 2014-04-29 |
| 1649568775 | Grace Counseling Services | Community/Behavioral Health | 111 Main Street, Wayne, NE 68787 | 2011-07-11 |
| 1780975144 | Magnuson Hopkins Eyecare PC | Optometrist | 1112 W 7th St, Wayne, NE 68787 | 2011-04-20 |
| 1497925556 | Peterson Therapy Services LLC | Physical Therapist | 208 N. Main St., Wayne, NE 68787 | 2008-03-05 |
| Find all providers in zip 68787 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1427699180 | Zoie Brianne Phillips | Physician Assistant | 200 Eagle Rd Ste 220, Wayne, PA 19087-3115 | 2019-10-03 |
| 1942724844 | Sarah Elizabeth Gilbert | Physician Assistant | 246 Hamburg Tpke Ste 306, Wayne, NJ 07470-2159 | 2017-08-01 |
| 1134655343 | Lindsay Haberman | Physician Assistant | 205 W Lancaster Ave Ste 2, Wayne, PA 19087-3343 | 2017-05-08 |
| 1679956395 | Tara Halpern | Physician Assistant | 15 Frederick Ct, Wayne, NJ 07470-2878 | 2015-06-30 |
| 1972886356 | Julianne Szabo | Physician Assistant | 342 Hamburg Tpke., Suite 205, Wayne, NJ 07470-2111 | 2011-09-22 |
| 1588677033 | David L. Rasizer | Physician Assistant | 12 Perera Ave, Wayne, NJ 07470-4330 | 2006-08-15 |
| 1760467294 | Robert K Adamczyk | Physician Assistant | 150 Hinchman Ave Ste 4, Wayne, NJ 07470 | 2005-12-07 |
| 1326649955 | Tiffany A Piatt | Physician Assistant | 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | 2020-11-02 |
| 1548887391 | Shefin Mathew | Physician Assistant | 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | 2020-06-28 |
| Find all providers in WAYNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.