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Active NPI 1689337784 Individual Practitioner Female Practitioner

Mikenzie Lane , PA-C

Physician Assistant • Gretna, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mikenzie Lane, PA-C is a certified Physician Assistant practicing in Gretna, NE. With approximately 6 years of clinical experience since completing medical education in 2020, Mikenzie Lane delivers high-quality medical care to the local community at 11946 STANDING STONE DR.

Mikenzie Lane is affiliated with Physicians Clinic Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include professional service for multiple injections of allergen, established patient outpatient office visit, test to measure expiratory airflow and volume. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11946 Standing Stone Dr

Gretna, NE 680288094

Telephone 4023542273
Fax 4028154510
Associated Practice Facility / Clinic
🏢 Physicians Clinic Inc Facility NPI 1790462810

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gretna, NE

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -6.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Gretna, NE (1366 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lane (6 Years) 6 Yrs
Gretna Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
95117 Professional service for multiple injections of allergen
29 21 $36.00 $9.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 11 $328.00 $95.02
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $228.00 $71.19

Medical Specialties & State Licenses

CMS Verified: 2025-01-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NE 2634

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

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.

Hospital & Practice Group Affiliations

Physicians Clinic Inc

101 E Centennial Rd, Papillion, NE 680462079

Phone: 4023547750

Physicians Clinic Inc

10060 Regency Cir, Omaha, NE 681143732

Phone: 4023541570

Physicians Clinic Inc

312 S 15th St, Omaha, NE 681022207

Phone: 4023542273

Physicians Clinic Inc

11946 Standing Stone Dr, Gretna, NE 680288094

Phone: 4028154500

Secondary Practice Locations

3503 Samson Way Ste 108

Bellevue, NE 681234303

Phone: 4025922055

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Jessica Curtice , APRN

Nurse Practitioner

NPI 1043861586

Advanced Practice Registered Nurse

Jena Mahoney

Nurse Practitioner

NPI 1093318792
Dr. Jaycie Gaspard , DNP

Nurse Practitioner

NPI 1093684029

Doctor of Nursing Practice

NPI 1134583024

Doctor of Osteopathic Medicine (D.O.)

Megan Easter

Nurse Practitioner

NPI 1164257564
NPI 1174618730

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 31, 2025

Registered at 11946 STANDING STONE DR, GRETNA, NE 680288094 (Tel: 4023542273)

📍
Updated Business Mailing Address January 31, 2025

Registered at PO BOX 3755, OMAHA, NE 681030755 (Tel: 1023542100)

📍
Updated Business Mailing Address December 15, 2023

Registered at 3503 SAMSON WAY STE 108, BELLEVUE, NE 681234303 (Tel: 4025922055)

👤
Provider Name / Credentials Updated December 15, 2023

Recorded as MIKENZIE LANE, PA-C

📍
Updated Practice Location November 29, 2022

Registered at 3503 SAMSON WAY STE 108, BELLEVUE, NE 681234303 (Tel: 4025922055)

NPI Profile Active October 16, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2021

Registered at 2510 BELLEVUE MEDICAL CENTER DR, BELLEVUE, NE 681231520 (Tel: 4027633000)

📍
Updated Business Mailing Address October 16, 2021

Registered at 6725 S 135TH TER, OMAHA, NE 681374217 (Tel: 3087606758)

👤
Provider Name / Credentials Updated October 16, 2021

Recorded as MIKENZIE NORDEEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 16, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689337784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2021
Last Update: January 31, 2025
Sole Proprietor: No

Mailing Address

Po Box 3755

Omaha, NE 681030755

Phone: 1023542100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.