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

Individual provider Physician Assistant · NPI 1689337784

Mikenzie Lane, PA-C is a Physician Assistant in Gretna, Nebraska. Qualified in 2020, 6 years ago. Practices with Physicians Clinic Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
6
Licensed in
NE
In the registry since
2021
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

11946 Standing Stone Dr
Gretna, NE 68028-8094
Phone: (402) 354-2273
Fax: (402) 815-4510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3503 Samson Way Ste 108, Bellevue, NE 68123-4303 — (402) 592-2055

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2634 (NE)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1689337784
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2021
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Physicians Clinic Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Gretna