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

Mrs. Melissa Ann Kudlacek, PA-C

Individual provider Medical Physician Assistant · NPI 1609139021

Mrs. Melissa Ann Kudlacek, PA-C is a Physician Assistant in Lincoln, Nebraska. Qualified in 2012, 14 years ago. Practices with Minuteclinic Diagnostic of Nebraska, LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
14
Licensed in
NE
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

7002 O St
Lincoln, NE 68510-2425
Phone: (866) 389-2727
Fax: (402) 489-9541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1663 (NE)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1663 (NE)

Record details

NPI number1609139021
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 20, 2012
Last updated in NPPESJuly 13, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Minuteclinic Diagnostic Of Nebraska, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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