TANJA L NOECKER (PA-C) – Medical Physician Assistant, NPI 1194733709

TANJA L NOECKER (PA-C) is a healthcare provider. based in Lincoln, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1209 (NE). The NPI Number for TANJA L NOECKER (PA-C) is 1194733709

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
TANJA L NOECKER (PA-C)
NPI
1194733709
Phone
(402) 421-0896
Address
8055 O ST
Enumeration Date
3 August 2006
Last Update Date
27 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
3678599479
Group Practice PAC ID
7315915873
Professional Enrollment ID
I20051020000885
Address ID
NE685214752LI5901XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

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Provider Addresses for TANJA L NOECKER (PA-C)

  • O Street, Lincoln, Lancaster County, Nebraska, 68527, United States

    STE 300

    LINCOLN, NE 685102580

    Phone: (402) 421-0896

    Fax: (402) 421-0945

    Type: Mailing

  • 4501, South 70th Street, Pine Lake, Lincoln, Lancaster County, Nebraska, 68516, United States

    STE 130

    LINCOLN, NE 685164282

    Phone: (402) 484-4940

    Fax: (402) 484-4941

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $696.

Total Amount is formed as General ($696) + Research ($0) + Ownership ($0) = $696.

Last reported payment date: 2024-11-03 • Largest payer in this snapshot: ABBVIE INC. ($354).

Total Amount

$696

General + Research + Ownership

Payments

36

Total payment records

General Amount

$696

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051020000885IPhysician AssistantNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes248126$0
99213Established patient office or other outpatient visit, 20-29 minutes16697$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8181$0
G0008Administration of influenza virus vaccine4242$0
90662Influenza vaccine split virus, preservative free3737$0
View full utilization report →

Insurance plans in this area (ZIP 68510)

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Provider's Procedures

TANJA L NOECKER (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTNE83036Hemoglobin A1C level9047
PHYSICIAN ASSISTANTNE90670Pneumococcal vaccine for injection into muscle2727

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315915873View full group profile
NameSpecialtyState
Physician AssistantNE
Physician AssistantNE
-NE
Nurse PractitionerNE
-NE
-NE
Psychiatry, NeuropsychiatryNE
Family PracticeNE
Physician AssistantNE
Physician AssistantNE

Reviews

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Frequently asked questions

How do I look up TANJA L NOECKER (PA-C) by NPI?
Use NPI 1194733709 when you need to reference TANJA L NOECKER (PA-C) in forms, claims, or directories.
Is TANJA L NOECKER (PA-C)'s NPI currently valid?
The extract we use shows TANJA L NOECKER (PA-C) as active.
Does TANJA L NOECKER (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for TANJA L NOECKER (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for TANJA L NOECKER (PA-C)?
The page summarizes Lincoln, Nebraska for TANJA L NOECKER (PA-C); expand the address list for detail.
Is TANJA L NOECKER (PA-C) a real provider?
This page reflects official NPPES data for NPI 1194733709. Always confirm identity and privileges with the practice and licensing boards.

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