ANDREA MARIE VACHA APRN
NPI 1922507086
Nurse Practitioner in Fremont, NE

Q: What is Andrea Vacha's NPI number?

The NPI number for Andrea Vacha is 1922507086. It was assigned to this individual provider in the NPPES registry on February 5, 2018.

Q: What is Andrea Vacha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Vacha was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 05, 2018PECOS EnrolledAccepts Medicare Assignment

350 W 23RD ST, FREMONT, NE 68025(402) 721-7077(402) 721-7324 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2021, Feb 19, 2018 (2 updates tracked since 2018).

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About Andrea Marie Vacha Aprn NPPES

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

ANDREA MARIE VACHA APRN (NPI 1922507086) is an individual nurse practitioner in Fremont, Nebraska, licensed in Nebraska (112407) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Methodist Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922507086

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANDREA MARIE VACHACredential: APRN

Location Address350 W 23RD STFremont, NE 68025-2592

Mailing Address7261 Mercy RdOmaha, NE 68124-2311

Phone(402) 721-7077

Fax(402) 721-7324

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 5, 2018

Last NPPES UpdateMarch 16, 20212 updates tracked since enumeration

NPPES CertifiedMarch 16, 2021

✔ NPI 1922507086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NE · 112407

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 61243 (NE)

350 W 23RD ST, Fremont, NE 68025

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Marie Vacha Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759643547

PECOS Enrollment IDI20180314001101

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Andrea Vacha reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Fremont Health

0.1 mi

Internal Medicine

450 E 23RD ST
Fremont, NE 68025

Reassigned Medicare billing, Nebraska enrollment
178 clinicians in this Medicare group

NPI 1235618216 (402) 721-1610

Alegent Creighton Clinic

24 mi

Internal Medicine

12809 W DODGE ROAD
Omaha, NE 68154

Reassigned Medicare billing, Nebraska enrollment
1,045 clinicians in this Medicare group

NPI 1154680700 (402) 398-6255

Physicians Clinic Inc

26 mi

Family Medicine

10060 REGENCY CIR
Omaha, NE 68114

Reassigned Medicare billing, Nebraska enrollment
544 clinicians in this Medicare group

NPI 1821049156 (402) 354-1500

Alegent Health Memorial Hospital, Schuyler

29 mi

Critical Access

104 W 17TH ST
Schuyler, NE 68661

Reassigned Medicare billing, Nebraska enrollment
Also billed through NPI 1780601781 (Nebraska)
22 clinicians in this Medicare group

NPI 1568547032 (402) 352-4077

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

960 services11 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

229 services144 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

206 services143 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

174 services105 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

96 services81 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

78 services78 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

64 services33 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

32 services29 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

20 services17 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

20 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

19 services18 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

19 services19 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

18 services18 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

13 services13 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

13 services13 patients

2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002

This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.

13 services13 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

12 services12 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280040

Location8303 Dodge StOmaha, NE 68114 · Douglas County

Emergency services Birthing friendly

Methodist Fremont Health

Acute Care Hospitals · Fremont, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280077

Location450 East 23rd StFremont, NE 68025 · Dodge County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BRYCE A EXSTROM P.A.

Physician Assistant

350 W 23RD ST, SUITE D
FREMONT, NE 68025

Dodge County (402) 721-8800

DR. KENDALL NIEHAUS DO

Family Medicine

350 W 23RD ST
FREMONT, NE 68025

Dodge County (402) 815-7800

MONTY R. SELLON M.D.

Family Medicine

350 W 23RD ST, SUITE C
FREMONT, NE 68025

Dodge County (402) 721-5727

PRAIRIE FIELDS FAMILY MEDICINE, P.C.

Family Medicine

350 W 23RD ST
FREMONT, NE 68025

Dodge County (402) 721-7077

MRS. JESSICA FRANCIS PA-C

Physician Assistant (Medical)

350 W 23RD ST, SUITE A
FREMONT, NE 68025

Dodge County (402) 721-7077

DR. ANDREA VERMAAS M.D.

Family Medicine

350 W 23RD ST
FREMONT, NE 68025

Dodge County (402) 721-7077

PAUL V. GLOWACKI MD LLC

Family Medicine

350 W 23RD ST, SUITE G
FREMONT, NE 68025

Dodge County (402) 721-5727

DR. BRADLEY STEVEN PFEIFER MD

Family Medicine

350 W 23RD ST
FREMONT, NE 68025

Dodge County (402) 815-7800

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 Andrea Vacha's NPI number?

The NPI number for Andrea Vacha is 1922507086. It was assigned to this individual provider in the NPPES registry on February 5, 2018.

Where is Andrea Vacha located?

Andrea Vacha practices at 350 W 23rd St, Fremont, NE 68025. The listed phone number is (402) 721-7077.

What is Andrea Vacha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Andrea Vacha enrolled in Medicare?

Yes. Andrea Vacha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrea Vacha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Vacha reassigns Medicare benefits to 4 organizations: Methodist Fremont Health (Fremont, NE), Alegent Creighton Clinic (Omaha, NE), Physicians Clinic Inc (Omaha, NE) and Alegent Health Memorial Hospital, Schuyler (Schuyler, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Vacha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Vacha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 1 other insurer list Andrea Vacha 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.

Is Andrea Vacha affiliated with any hospitals?

According to CMS data, Andrea Vacha is affiliated with The Nebraska Methodist Hospital and Methodist Fremont Health.

When was this NPI record last updated?

The NPPES record for Andrea Vacha was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.