Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke N Wagner, PAC

Individual provider Physician Assistant · NPI 1780166827

Brooke N Wagner, PAC is a Physician Assistant in Omaha, Nebraska. Qualified in 2018, 8 years ago. Practices with Orthowest, LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
8
Licensed in
IA, NE
In the registry since
2018
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2725 S 144th St Ste 212
Omaha, NE 68144-5253
Phone: (402) 637-0800
Fax: (402) 637-0808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2274 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 092923 (IA)

Record details

NPI number1780166827
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 5, 2018
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020
Mailing address2725 S 144th St Ste 212, Omaha, NE 68144-5253

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Orthowest, Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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