Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jeremy J Vanicek, PAC

Individual provider Physician Assistant · NPI 1174537146

Mr. Jeremy J Vanicek, PAC is a Physician Assistant in Omaha, Nebraska. Qualified in 2000, 26 years ago. Practices with Orthowest, LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
26
Licensed in
NE
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2725 S 144th St Ste 212
Omaha, NE 68144-5253
Phone: (402) 637-0800
Fax: (402) 637-0808
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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 942 (NE)

Record details

NPI number1174537146
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020

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 Orthowest, Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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