Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlyn Danielle Premer, PA-C

Individual provider Medical Physician Assistant · NPI 1154100881

Kaitlyn Danielle Premer, PA-C is a Physician Assistant in Omaha, Nebraska. Qualified in 2023, 3 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
3
Licensed in
IA, NE
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7500 Mercy Rd
Omaha, NE 68124-2319
Phone: (402) 398-6060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2993 (NE)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 121904 (IA)

Record details

NPI number1154100881
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2023
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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