Individual provider · Type 1 NPI

Mikayla K. Grevengoed, PA

Physician Assistant · Omaha, NE

NPI number 1215568175 Active

Practice location

8200 Dodge St
Omaha, NE 68114

Call (402) 955-5400 Map

Fax (402) 955-4364

Mailing address

PO Box 24607
Omaha, NE 68124

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X115612 (IA)
Medical Physician Assistant 363AM0700X2429 (NE)
Physician Assistant Primary 363A00000X2429 (NE)

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, orde…

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About NPI 1215568175

Mikayla K. Grevengoed, PA's National Provider Identifier is 1215568175, issued on Jan 30, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Omaha, NE. The record was last updated on May 13, 2023.