Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639069313 Individual Practitioner Female Practitioner

Marlene Ingrid Djidjoho , PA

Physician Assistant • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Marlene Djidjoho, PA is a registered healthcare professional specializing in Physician Assistant in Omaha, NE. Practice services are available at S 42ND & EMILY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

S 42nd & Emily St

Omaha, NE 681980001

Telephone 4025594000

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
552 Specialists

Practicing in Omaha, NE (1366 Statewide)

Telehealth Adoption Rate
12.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-05
Physician Assistant Primary Specialty

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Lauren Licitra , MD

Internal Medicine

NPI 1003256991

Doctor of Medicine (M.D.)

Taylor Mueller , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003658915

Certified Registered Nurse Anesthetist

Grace Vincent

Student in an Organized Health Care Education/Training Program

NPI 1013807288
Taylor Peltz

Student in an Organized Health Care Education/Training Program

NPI 1033955745
Courtney Kern

Student in an Organized Health Care Education/Training Program

NPI 1053157768
Molly Ramsey

Student in an Organized Health Care Education/Training Program

NPI 1053238295

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 05, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2025

Registered at S 42ND & EMILY ST, OMAHA, NE 681980001 (Tel: 4025594000)

📍
Updated Business Mailing Address July 05, 2025

Registered at S 42 & EMILE STREET, OMAHA, NE 681980001 (Tel: 4025594000)

👤
Provider Name / Credentials Updated July 05, 2025

Recorded as MARLENE DJIDJOHO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 05, 2025

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: 1639069313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2025
Last Update: July 05, 2025
Sole Proprietor: Yes

Mailing Address

S 42 & Emile Street

Omaha, NE 681980001

Phone: 4025594000

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.