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

Jennifer R Michaelis, PA

Individual provider Physician Assistant · NPI 1164860268

Jennifer R Michaelis, PA is a Physician Assistant in Omaha, Nebraska. Licensed in Iowa and Nebraska. Registered with an NPI since 2013.

Licensed in
IA, NE
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

16120 W Dodge Rd
Omaha, NE 68118-2049
Phone: (402) 354-0707
Fax: (402) 354-0711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1825 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 074838 (IA)

Record details

NPI number1164860268
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 11, 2013
Last updated in NPPESFebruary 17, 2015

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