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

Individual provider Physician Assistant · NPI 1487950945

Mallory Leigh Pottebaum, PA-C is a Physician Assistant in Omaha, Nebraska. Graduated from University of Nebraska College of Medicine in 2015, 11 years ago. Practices with Unmc Physicians, a 1,484-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
11
Trained at
University of Nebraska College of Medicine
Licensed in
NE
In the registry since
2011
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

505 S 45th St
Omaha, NE 68198-0001
Phone: (402) 559-5600
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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 1997 (NE)

Record details

NPI number1487950945
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2011
Last updated in NPPESJune 25, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Unmc Physicians — 1484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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