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

Individual provider Medical Physician Assistant · NPI 1396139069

Kimberly Spencer, PA-C is a Physician Assistant in Omaha, Nebraska. Qualified in 2014, 12 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
12
Licensed in
IA, NE
In the registry since
2015
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

16101 Evans St Ste 100
Omaha, NE 68116-6447
Phone: (402) 717-9700
Fax: (402) 717-9701
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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 2014 (NE)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 076849 (IA)

Record details

NPI number1396139069
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 20, 2015
Last updated in NPPESJune 13, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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