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

Individual provider Surgical Physician Assistant · NPI 1053396457

Michael L Koebernick, PA-C is a Physician Assistant in Lincoln, Nebraska. Qualified in 2000, 26 years ago. Practices with Nebraska Orthopaedic Center PC, a 64-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
26
Licensed in
NE
In the registry since
2005
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

575 S 70th St #400
Lincoln, NE 68510-2471
Phone: (402) 488-3002
Fax: (402) 483-8787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 937 (NE)

Record details

NPI number1053396457
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESDecember 14, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Nebraska Orthopaedic Center Pc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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