network|NPI|TIN|Name|FirstName|MI|LastName|Degree|Specialty|Address|City|State|Zip|Phone|TermDate|ReportDate ELAP|1023079282|823879208|CHRISTINA POLLET|CHRISTINA||POLLET|CRNA|Nurse Anesthetist|16901 LAKESIDE HILLS CT|OMAHA|NE|68130|4027174866|2024-09-13|2025-01-15 ELAP|1023079282|823879208|CHRISTINA POLLET|CHRISTINA||POLLET|CRNA|Nurse Anesthetist|P.O. BOX 775636|CHICAGO|IL|60677|8002421131|2024-09-13|2025-01-15 ELAP|1053944017|810653461|SHELBY L RANDOLPH|SHELBY|L|RANDOLPH|PT|Physical Therapy|1601 N 86TH ST STE 300|LINCOLN|NE|68505|4023277515|2024-09-20|2025-01-15 ELAP|1053944017|810653461|SHELBY L RANDOLPH|SHELBY|L|RANDOLPH|PT|Physical Therapy|2510 S 40TH ST STE 200|LINCOLN|NE|68506|4024863333|2024-09-20|2025-01-15 ELAP|1053944017|810653461|SHELBY L RANDOLPH|SHELBY|L|RANDOLPH|PT|Physical Therapy|4001 O ST|LINCOLN|NE|68510|4028170834|2024-09-20|2025-01-15 ELAP|1053944017|810653461|SHELBY L RANDOLPH|SHELBY|L|RANDOLPH|PT|Physical Therapy|4055 YANKEE HILL RD|LINCOLN|NE|68516|4024345895|2024-09-20|2025-01-15 ELAP|1063027183|470608015|AMYJO D WALLINGFORD|AMYJO|D|WALLINGFORD|APRN|Allergy and Immunology|17030 LAKESIDE HILLS PLZ STE 218|OMAHA|NE|68130|4023911800|2024-08-31|2025-01-15 ELAP|1063027183|470608015|AMYJO D WALLINGFORD|AMYJO|D|WALLINGFORD|APRN|Allergy and Immunology|2808 S 80TH AVE STE 210|OMAHA|NE|68124|4023911800|2024-08-31|2025-01-15 ELAP|1063027183|470608015|AMYJO D WALLINGFORD|AMYJO|D|WALLINGFORD|APRN|Allergy and Immunology|3434 W BROADWAY|COUNCIL BLUFFS|IA|51501|4023911800|2024-08-31|2025-01-15 ELAP|1063027183|470608015|AMYJO D WALLINGFORD|AMYJO|D|WALLINGFORD|APRN|Allergy and Immunology|401 E GOLD COAST RD STE 333|PAPILLION|NE|68046|4023911800|2024-08-31|2025-01-15 ELAP|1063027183|470608015|AMYJO D WALLINGFORD|AMYJO|D|WALLINGFORD|APRN|Allergy and Immunology|4301 SERGEANT RD STE 215|SIOUX CITY|IA|51106|4023911800|2024-08-31|2025-01-15 ELAP|1063027183|470608015|AMYJO D WALLINGFORD|AMYJO|D|WALLINGFORD|APRN|Allergy and Immunology|600 N COTNER BLVD STE 208|LINCOLN|NE|68505|4023911800|2024-08-31|2025-01-15 ELAP|1073050944|470376583|ELIZABETH R OSWALD|ELIZABETH|R|OSWALD|SLP|Speech Therapy|17055 FRANCES ST STE 103|OMAHA|NE|68130|4022802200|2024-12-01|2025-01-15 ELAP|1073050944|470376583|ELIZABETH R OSWALD|ELIZABETH|R|OSWALD|SLP|Speech Therapy|3006 WEBSTER ST|OMAHA|NE|68131|4022802246|2024-12-01|2025-01-15 ELAP|1114542834|420782518|ANGELA C BOLL|ANGELA|C|BOLL|CRNA|Nurse Anesthetist|603 ROSARY DR|CORNING|IA|50841|6413223121|2024-12-04|2025-01-15 ELAP|1114542834|420782518|ANGELA C BOLL|ANGELA|C|BOLL|CRNA|Nurse Anesthetist|P.O. BOX 776207|CHICAGO|IL|60677|4027174380|2024-12-04|2025-01-15 ELAP|1114703253|810653461|ANNA C MOORE|ANNA|C|MOORE|SLP|Speech Therapy|4001 O ST|LINCOLN|NE|68510|4027170834|2024-12-01|2025-01-15 ELAP|1164202339|364831107|SYLVIA B MISE|SYLVIA|B|MISE|NP|Nurse Practitioner|312 OLSON DR STE 101|PAPILLION|NE|68046|4029336300|2024-12-01|2025-01-15 ELAP|1164202339|364831107|SYLVIA B MISE|SYLVIA|B|MISE|NP|Nurse Practitioner|5062 S 155TH ST|OMAHA|NE|68137|4029336300|2024-12-01|2025-01-15 ELAP|1164202339|364831107|SYLVIA B MISE|SYLVIA|B|MISE|NP|Nurse Practitioner|8027 S 83RD AVE|LA VISTA|NE|68128|4026790943|2024-12-01|2025-01-15 ELAP|1164202339|364831107|SYLVIA B MISE|SYLVIA|B|MISE|NP|Nurse Practitioner|P.O. BOX 30200|OMAHA|NE|68103|4029336300|2024-12-01|2025-01-15 ELAP|1164854931|810653461|KELLY A GRIM|KELLY|A|GRIM|OT|Occupational Therapy|905 N CUSTER AVE|GRAND ISLAND|NE|68803|3083982170|2024-12-01|2025-01-15 ELAP|1205406576|813306758|BRENDA P DELEON|BRENDA|P|DELEON|APRN|Family Practice|102 3RD AVE|KEARNEY|NE|68845|3082372273|2024-09-13|2025-01-15 ELAP|1285008300|470545645|TREVOR J ENGELSON|TREVOR|J|ENGELSON|PA-C|Orthopedic Surgery|1113 SHERMAN ST|SAINT PAUL|NE|68873|3087544421|2024-12-02|2025-01-15 ELAP|1285008300|470545645|TREVOR J ENGELSON|TREVOR|J|ENGELSON|PA-C|Orthopedic Surgery|1301 E H ST|MC COOK|NE|69001|3083442650|2024-12-02|2025-01-15 ELAP|1285008300|470545645|TREVOR J ENGELSON|TREVOR|J|ENGELSON|PA-C|Orthopedic Surgery|1423 7TH ST|AURORA|NE|68818|4026943171|2024-12-02|2025-01-15 ELAP|1285008300|470545645|TREVOR J ENGELSON|TREVOR|J|ENGELSON|PA-C|Orthopedic Surgery|145 MEMORIAL DR|BROKEN BOW|NE|68822|3088726891|2024-12-02|2025-01-15 ELAP|1285008300|470545645|TREVOR J ENGELSON|TREVOR|J|ENGELSON|PA-C|Orthopedic Surgery|223 E 14TH ST STE 250|HASTINGS|NE|68901|4024624241|2024-12-02|2025-01-15 ELAP|1285008300|470545645|TREVOR J ENGELSON|TREVOR|J|ENGELSON|PA-C|Orthopedic Surgery|2707 L ST|ORD|NE|68862|3087283211|2024-12-02|2025-01-15 ELAP|1285008300|470545645|TREVOR J ENGELSON|TREVOR|J|ENGELSON|PA-C|Orthopedic Surgery|300 E 12TH ST|COZAD|NE|69130|3087842261|2024-12-02|2025-01-15 ELAP|1285008300|470545645|TREVOR J ENGELSON|TREVOR|J|ENGELSON|PA-C|Orthopedic Surgery|520 E 10TH ST|SUPERIOR|NE|68978|4028793281|2024-12-02|2025-01-15 ELAP|1285008300|470545645|TREVOR J ENGELSON|TREVOR|J|ENGELSON|PA-C|Orthopedic Surgery|620 N DIERS AVE STE 200|GRAND ISLAND|NE|68803|3083845400|2024-12-02|2025-01-15 ELAP|1285008300|470545645|TREVOR J ENGELSON|TREVOR|J|ENGELSON|PA-C|Orthopedic Surgery|910 20TH ST|GOTHENBURG|NE|69138|3085373661|2024-12-02|2025-01-15 ELAP|1285915587|814441552|KRISTA L CULLEN|KRISTA|L|CULLEN|PT|Physical Therapy|2845 S 70TH ST|LINCOLN|NE|68506|4024891999|2024-10-12|2025-01-15 ELAP|1306820576|823879208|SAMUEL A MUGFORD|SAMUEL|A|MUGFORD|CRNA|Nurse Anesthetist|7500 MERCY RD STE 1355|OMAHA|NE|68124|4027174866|2024-11-01|2025-01-15 ELAP|1316998396|470765154|JEFF M HERBST|JEFF|M|HERBST|MD|Emergency Medicine|11111 S 84TH ST|PAPILLION|NE|68046|4025933550|2024-11-14|2025-01-15 ELAP|1316998396|470765154|JEFF M HERBST|JEFF|M|HERBST|MD|Emergency Medicine|16901 LAKESIDE HILLS CT|OMAHA|NE|68130|4027178111|2024-11-14|2025-01-15 ELAP|1316998396|470765154|JEFF M HERBST|JEFF|M|HERBST|MD|Emergency Medicine|2412 CUMING ST|OMAHA|NE|68131|4024494590|2024-11-14|2025-01-15 ELAP|1316998396|470765154|JEFF M HERBST|JEFF|M|HERBST|MD|Emergency Medicine|2771 SOLUTION CTR|CHICAGO|IL|60677|4027174380|2024-11-14|2025-01-15 ELAP|1316998396|470765154|JEFF M HERBST|JEFF|M|HERBST|MD|Emergency Medicine|7500 MERCY RD|OMAHA|NE|68124|4023986060|2024-11-14|2025-01-15 ELAP|1376153197|364831107|MATILDA R BEAUDETTE|MATILDA|R|BEAUDETTE|APRN|Nurse Practitioner|312 OLSON DR STE 101|PAPILLION|NE|68046|4029336300|2024-12-01|2025-01-15 ELAP|1376153197|364831107|MATILDA R BEAUDETTE|MATILDA|R|BEAUDETTE|APRN|Nurse Practitioner|5062 S 155TH ST|OMAHA|NE|68137|4029336300|2024-12-01|2025-01-15 ELAP|1376153197|364831107|MATILDA R BEAUDETTE|MATILDA|R|BEAUDETTE|APRN|Nurse Practitioner|8027 S 83RD AVE|LA VISTA|NE|68128|4026790943|2024-12-01|2025-01-15 ELAP|1417650250|833780279|JENNIFER L CHAVEZ|JENNIFER|L|CHAVEZ|APRN|Pain Management|1423 7TH ST|AURORA|NE|68818|3086753222|2024-12-01|2025-01-15 ELAP|1417650250|833780279|JENNIFER L CHAVEZ|JENNIFER|L|CHAVEZ|APRN|Pain Management|2707 L ST|ORD|NE|68862|3086753222|2024-12-01|2025-01-15 ELAP|1417650250|833780279|JENNIFER L CHAVEZ|JENNIFER|L|CHAVEZ|APRN|Pain Management|403 LEXINGTON CIR|GRAND ISLAND|NE|68803|3086753222|2024-12-01|2025-01-15 ELAP|1417650250|833780279|JENNIFER L CHAVEZ|JENNIFER|L|CHAVEZ|APRN|Pain Management|726 EASTSIDE BLVD|HASTINGS|NE|68901|4028343368|2024-12-01|2025-01-15 ELAP|1417792433|470376583|SIDNIE T LAMOTTE|SIDNIE|T|LAMOTTE|PT|Physical Therapy|17055 FRANCES ST STE 103|OMAHA|NE|68130|4022802200|2024-12-31|2025-01-15 ELAP|1417792433|470376583|SIDNIE T LAMOTTE|SIDNIE|T|LAMOTTE|PT|Physical Therapy|3006 WEBSTER ST|OMAHA|NE|68131|4022802246|2024-12-31|2025-01-15 ELAP|1417792433|470376583|SIDNIE T LAMOTTE|SIDNIE|T|LAMOTTE|PT|Physical Therapy|P.O. BOX 30130|OMAHA|NE|68103|4022803555|2024-12-31|2025-01-15 ELAP|1487180782|470376583|ALEX M HABEGGER|ALEX|M|HABEGGER|PT|Physical Therapy|17055 FRANCES ST STE 103|OMAHA|NE|68130|4022802200|2024-12-01|2025-01-15 ELAP|1487180782|470376583|ALEX M HABEGGER|ALEX|M|HABEGGER|PT|Physical Therapy|3006 WEBSTER ST|OMAHA|NE|68131|4022803555|2024-12-01|2025-01-15 ELAP|1487260899|470376583|KIMBERLY C RUDD|KIMBERLY|C|RUDD|PT|Physical Therapy|17055 FRANCES ST STE 100|OMAHA|NE|68130|4022803555|2024-12-01|2025-01-15 ELAP|1487260899|470376583|KIMBERLY C RUDD|KIMBERLY|C|RUDD|PT|Physical Therapy|3006 WEBSTER ST|OMAHA|NE|68131|4022803555|2024-12-01|2025-01-15 ELAP|1578601761|823879208|AARON G REA|AARON|G|REA|MD|Anesthesiology|7500 MERCY RD STE 1355|OMAHA|NE|68124|4027174866|2024-11-01|2025-01-15 ELAP|1578601761|823879208|AARON G REA|AARON|G|REA|MD|Anesthesiology|P.O. BOX 775636|CHICAGO|IL|60677|8002421131|2024-11-01|2025-01-15 ELAP|1649250960|823898488|JAGADESHWAR G REDDY|JAGADESHWAR|G|REDDY|MD|Pulmonology|3219 CENTRAL AVE STE 200|KEARNEY|NE|68847|3088652370|2024-11-05|2025-01-15 ELAP|1649716564|810653461|HALEY M GRIZZLE|HALEY|M|GRIZZLE|OT|Occupational Therapy|3004 W FAIDLEY AVE|GRAND ISLAND|NE|68803|3083985170|2024-12-01|2025-01-15 ELAP|1649716564|810653461|HALEY M GRIZZLE|HALEY|M|GRIZZLE|OT|Occupational Therapy|4001 O ST|LINCOLN|NE|68510|4027170834|2024-12-01|2025-01-15 ELAP|1649716564|810653461|HALEY M GRIZZLE|HALEY|M|GRIZZLE|OT|Occupational Therapy|P.O. BOX 5285|GRAND ISLAND|NE|68802|3086751853|2024-12-01|2025-01-15 ELAP|1659631240|470376583|LISA L BLACK|LISA|L|BLACK|PT|Physical Therapy|17055 FRANCES ST STE 100|OMAHA|NE|68130|4022803555|2024-12-01|2025-01-15 ELAP|1659631240|470376583|LISA L BLACK|LISA|L|BLACK|PT|Physical Therapy|2802 BURT ST|OMAHA|NE|68131|4022803555|2024-12-01|2025-01-15 ELAP|1659631240|470376583|LISA L BLACK|LISA|L|BLACK|PT|Physical Therapy|3006 WEBSTER ST|OMAHA|NE|68131|4022803555|2024-12-01|2025-01-15 ELAP|1720293624|470769316|MICHELE L JUREY|MICHELE|L|JUREY|SLP|Speech Therapy|110 W 5TH ST|LEXINGTON|NE|68850|3083243700|2024-11-30|2025-01-15 ELAP|1720293624|470769316|MICHELE L JUREY|MICHELE|L|JUREY|SLP|Speech Therapy|211 W 33RD ST STE A|KEARNEY|NE|68845|3082365884|2024-11-30|2025-01-15 ELAP|1720293624|470769316|MICHELE L JUREY|MICHELE|L|JUREY|SLP|Speech Therapy|244 N MINDEN AVE|MINDEN|NE|68959|3088321500|2024-11-30|2025-01-15 ELAP|1720293624|470769316|MICHELE L JUREY|MICHELE|L|JUREY|SLP|Speech Therapy|321 GRAND AVE|RAVENNA|NE|68869|3084527154|2024-11-30|2025-01-15 ELAP|1720293624|470769316|MICHELE L JUREY|MICHELE|L|JUREY|SLP|Speech Therapy|620 E 25TH ST STE 7|KEARNEY|NE|68847|3084551781|2024-11-30|2025-01-15 ELAP|1720293624|470769316|MICHELE L JUREY|MICHELE|L|JUREY|SLP|Speech Therapy|905 MAIN ST|WOOD RIVER|NE|68883|3085830123|2024-11-30|2025-01-15 ELAP|1740203835|470765154|ELIZABETH N TRAYNOR|ELIZABETH|N|TRAYNOR|MD|Neurology|6901 N 72ND ST STE 2400|OMAHA|NE|68122|4027170070|2024-11-02|2025-01-15 ELAP|1740203835|470765154|ELIZABETH N TRAYNOR|ELIZABETH|N|TRAYNOR|MD|Neurology|7710 MERCY RD STE 3000|OMAHA|NE|68124|4027170070|2024-11-02|2025-01-15 ELAP|1780998559|364831107|JASON M GILLESPIE|JASON|M|GILLESPIE|APRN|Urgent Care Physician|17650 WRIGHT ST STE 5|OMAHA|NE|68130|4026765947|2024-12-06|2025-01-15 ELAP|1780998559|364831107|JASON M GILLESPIE|JASON|M|GILLESPIE|APRN|Urgent Care Physician|312 OLSON DR STE 101|PAPILLION|NE|68046|4029336300|2024-12-06|2025-01-15 ELAP|1780998559|364831107|JASON M GILLESPIE|JASON|M|GILLESPIE|APRN|Urgent Care Physician|333 S 72ND ST|OMAHA|NE|68114|4029336300|2024-12-06|2025-01-15 ELAP|1780998559|364831107|JASON M GILLESPIE|JASON|M|GILLESPIE|APRN|Urgent Care Physician|5062 S 155TH ST|OMAHA|NE|68137|4029336300|2024-12-06|2025-01-15 ELAP|1780998559|364831107|JASON M GILLESPIE|JASON|M|GILLESPIE|APRN|Urgent Care Physician|8027 S 83RD AVE|LA VISTA|NE|68128|4026790943|2024-12-06|2025-01-15 ELAP|1811073869|470726068|TEDETTE L ELLIS|TEDETTE|L|ELLIS|APRN|Obstetrics and Gynecology|7205 W CTR RD STE 200|OMAHA|NE|68124|4023976600|2024-07-31|2025-01-15 ELAP|1891012480|470687526|JOHN P SHANDERA|JOHN|P|SHANDERA|CRNA|Nurse Anesthetist|10 E 31ST ST|KEARNEY|NE|68847|3082342581|2024-07-01|2025-01-15 ELAP|1891012480|470687526|JOHN P SHANDERA|JOHN|P|SHANDERA|CRNA|Nurse Anesthetist|115 E 52ND ST|KEARNEY|NE|68847|3082342581|2024-07-01|2025-01-15 ELAP|1891012480|470687526|JOHN P SHANDERA|JOHN|P|SHANDERA|CRNA|Nurse Anesthetist|P.O. BOX 1771|KEARNEY|NE|68848|3082342581|2024-07-01|2025-01-15 ELAP|1912956137|470765154|MITCHELL L LEWIS|MITCHELL|L|LEWIS|MD|Emergency Medicine|11111 S 84TH ST|PAPILLION|NE|68046|4025933550|2024-10-21|2025-01-15 ELAP|1912956137|470765154|MITCHELL L LEWIS|MITCHELL|L|LEWIS|MD|Emergency Medicine|2412 CUMING ST|OMAHA|NE|68131|4024494590|2024-10-21|2025-01-15 ELAP|1912956137|470765154|MITCHELL L LEWIS|MITCHELL|L|LEWIS|MD|Emergency Medicine|2771 SOLUTION CTR|CHICAGO|IL|60677|4027174380|2024-10-21|2025-01-15 ELAP|1912956137|470765154|MITCHELL L LEWIS|MITCHELL|L|LEWIS|MD|Emergency Medicine|555 S 70TH ST|LINCOLN|NE|68510|4024897181|2024-10-21|2025-01-15 ELAP|1912956137|470765154|MITCHELL L LEWIS|MITCHELL|L|LEWIS|MD|Emergency Medicine|7500 MERCY RD|OMAHA|NE|68124|4023986060|2024-10-21|2025-01-15 ELAP|1912956137|470765154|MITCHELL L LEWIS|MITCHELL|L|LEWIS|MD|Emergency Medicine|800 MERCY DR|COUNCIL BLUFFS|IA|51503|7123285230|2024-10-21|2025-01-15 ELAP|1952362196|810653461|PEGGY S LACKORE|PEGGY|S|LACKORE|PT|Physical Therapy|905 N CUSTER AVE|GRAND ISLAND|NE|68803|3083982170|2024-12-01|2025-01-15 ELAP|1972941441|470548990|CONNIE DANIEL|CONNIE||DANIEL|APRN|Family Practice|122 S 6TH ST|PLATTSMOUTH|NE|68048|4022962345|2024-10-01|2025-01-15 ELAP|1972941441|470548990|CONNIE DANIEL|CONNIE||DANIEL|APRN|Family Practice|2207 GEORGIA AVE|BELLEVUE|NE|68005|4025028855|2024-10-01|2025-01-15 ELAP|1972941441|470548990|CONNIE DANIEL|CONNIE||DANIEL|APRN|Family Practice|4101 S 120TH ST|OMAHA|NE|68137|4027344110|2024-10-01|2025-01-15 ELAP|1972941441|470548990|CONNIE DANIEL|CONNIE||DANIEL|APRN|Family Practice|4215 S 20TH ST|OMAHA|NE|68107|4029327014|2024-10-01|2025-01-15 ELAP|1972941441|470548990|CONNIE DANIEL|CONNIE||DANIEL|APRN|Family Practice|4229 N 90TH ST|OMAHA|NE|68134|4027344110|2024-10-01|2025-01-15 ELAP|1972941441|470548990|CONNIE DANIEL|CONNIE||DANIEL|APRN|Family Practice|4310 S 24TH ST|OMAHA|NE|68107|4025028880|2024-10-01|2025-01-15 ELAP|1972941441|470548990|CONNIE DANIEL|CONNIE||DANIEL|APRN|Family Practice|4910 S 30TH ST|OMAHA|NE|68107|4027344110|2024-10-01|2025-01-15 ELAP|1972941441|470548990|CONNIE DANIEL|CONNIE||DANIEL|APRN|Family Practice|4920 S 30TH ST STE 103|OMAHA|NE|68107|4027344110|2024-10-01|2025-01-15 ELAP|1972941441|470548990|CONNIE DANIEL|CONNIE||DANIEL|APRN|Family Practice|4930 S 30TH ST|OMAHA|NE|68107|4027344110|2024-10-01|2025-01-15