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

Sally Homan, PA

Individual provider Physician Assistant · NPI 1629759113

Sally Homan, PA is a Physician Assistant in Lincoln, Nebraska. Qualified in 2023, 3 years ago. Practices with Coddington Medical Family Practice LLC, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1336 W A St
Lincoln, NE 68522-1231
Phone: (402) 314-3399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1629759113
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 27, 2023
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023
Mailing address1511 Grafton Dr, Lexington, NE 68850-1115

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 Coddington Medical Family Practice Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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