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

Sophie Ann Gengenbach

Individual provider Physician Assistant · NPI 1336987213

Sophie Ann Gengenbach is a Physician Assistant in Papillion, Nebraska. Qualified in 2025, 1 year ago. Practices with Papillion Family Medicine PC, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2024

Practice location Address checks out

555 Fortune Dr
Papillion, NE 68046-3421
Phone: (402) 502-3600
Fax: (402) 505-3606
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1336987213
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 16, 2024
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Papillion Family Medicine Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Papillion