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

Mrs. Susan Lee Wollenburg, PA-C

Individual provider Physician Assistant · NPI 1164740478

Mrs. Susan Lee Wollenburg, PA-C is a Physician Assistant in Omaha, Nebraska. Qualified in 2009, 17 years ago. Practices with Midwest Regional Health Services LLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nebraska.

Years since qualifying
17
Licensed in
NE
In the registry since
2010
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

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Phone: (402) 559-7200
Fax: (402) 559-9344
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1513 (NE)

Record details

NPI number1164740478
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 11, 2010
Last updated in NPPESJanuary 21, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Midwest Regional Health Services Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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