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

Reagan Nicole Bradshaw

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184358236

Reagan Nicole Bradshaw is a Physician Assistant in Omaha, Nebraska. Qualified in 2023, 3 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
3
Licensed in
NE
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

42ND And Emile St
Omaha, NE 68198-0001
Phone: (402) 889-8673
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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 3078 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NE)

Record details

NPI number1184358236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESMarch 2, 2024
Certification dateMarch 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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