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

Mrs. Sophie Dunnell Ullman

Individual provider Medical Physician Assistant · NPI 1427666577

Mrs. Sophie Dunnell Ullman is a Physician Assistant in Fremont, Nebraska. Qualified in 2020, 6 years ago. Practices with MD West One PC, a 85-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
6
Licensed in
NE
In the registry since
2020
Specialties on file
2

Practice location Address checks out

3301 E Elkhorn Dr Ste 100
Fremont, NE 68025-6240
Phone: (402) 390-4111
Fax: (402) 390-4115
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2510 (NE)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2510 (NE)

Record details

NPI number1427666577
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2020
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

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 Md West One Pc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fremont