MRS. MIKAYLA K GREVENGOED PA
NPI 1215568175
Physician Assistant in Omaha, NE

Q: What is Mikayla Grevengoed's NPI number?

The NPI number for Mikayla Grevengoed is 1215568175. It was assigned to this individual provider in the NPPES registry on January 30, 2020. The provider is also known as Mikayla K Locke PA.

Q: What is Mikayla Grevengoed's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 30, 2020

8200 DODGE ST, OMAHA, NE 68114(402) 955-5400(402) 955-4364 Get Directions Write a Review

NPPES record last updated: May 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2023, Jan 30, 2020 (2 updates tracked since 2020).

On this page

About Mrs. Mikayla K Grevengoed Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MIKAYLA K GREVENGOED PA (NPI 1215568175) is an individual physician assistant in Omaha, Nebraska, licensed in Nebraska (2429) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1215568175

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. MIKAYLA K GREVENGOEDCredential: PA

Location Address8200 DODGE STOmaha, NE 68114

Mailing AddressPo Box 24607Omaha, NE 68124 · (402) 955-5400 · Fax (402) 955-3674

Phone(402) 955-5400

Fax(402) 955-4364

Sole ProprietorNo

Enumeration DateJanuary 30, 2020

Last NPPES UpdateMay 13, 20232 updates tracked since enumeration

NPPES CertifiedMay 13, 2023

✔ NPI 1215568175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NE · 2429✔ Licensed in IA · 115612

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2429 (NE)

8200 DODGE ST, Omaha, NE 68114

Open in Google Maps ↗

Other Names 1

Former Name (1)Mikayla K Locke Pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHILDRENS HOSPITAL & MEDICAL CENTER

Dietitian, Registered (Nutrition, Pediatric)

8200 DODGE ST
OMAHA, NE 68114

Douglas County (402) 955-5400

DR. AMANDA MARSHALL

Pediatrics (Pediatric Cardiology)

8200 DODGE ST
OMAHA, NE 68114

Douglas County (402) 955-2292

CLAYTON MOWRER D.O.

Internal Medicine

8200 DODGE ST
OMAHA, NE 68114

Douglas County (402) 955-4060

DR. QAIS ALLOAH MD

Pediatrics (Pediatric Cardiology)

8200 DODGE ST
OMAHA, NE 68114

Douglas County (402) 955-4350

CHILDREN'S SPECIALTY PHYSICIAN BILLING

Nurse Practitioner (Pediatrics)

8200 DODGE ST, CHILDREN'S HOSPITAL
OMAHA, NE 68114

Douglas County (402) 955-6928

MRS. SARAH ASHLEY CLEAVER APRN

Nurse Practitioner (Pediatrics)

8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER - ED
OMAHA, NE 68114

Douglas County (402) 955-5150

JOHN D KUGLER M.D.

Pediatrics (Pediatric Cardiology)

8200 DODGE ST
OMAHA, NE 68114

Douglas County (402) 955-4350

MR. SCOTT S JAMES MD

Pediatrics (Pediatric Emergency Medicine)

8200 DODGE ST, CHILDREN'S HOSPITAL - EMERGENCY DEPARTMENT
OMAHA, NE 68114

Douglas County (402) 955-5150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikayla Grevengoed's NPI number?

The NPI number for Mikayla Grevengoed is 1215568175. It was assigned to this individual provider in the NPPES registry on January 30, 2020. The provider is also known as Mikayla K Locke PA.

Where is Mikayla Grevengoed located?

Mikayla Grevengoed practices at 8200 Dodge St, Omaha, NE 68114. The listed phone number is (402) 955-5400.

What is Mikayla Grevengoed's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Mikayla Grevengoed accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica list Mikayla Grevengoed as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mikayla Grevengoed was last updated on May 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.