MARY GRACE REESE (PA-C) – Physician Assistant, NPI 1346123304

MARY GRACE REESE (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. 3297 (NE). The NPI Number for MARY GRACE REESE (PA-C) is 1346123304

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MARY GRACE REESE (PA-C)
NPI
1346123304
Phone
(402) 499-5876
Address
3830 C ST
Enumeration Date
28 July 2025
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024837507
Graduation Year
2025 (1 year ago)
PAC ID
9436654902
Group Practice PAC ID
4385539725
Professional Enrollment ID
I20250925001399
Address ID
NE685269277LI4525XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,397 PHYSICIAN ASSISTANT in NE

Provider Addresses for MARY GRACE REESE (PA-C)

  • 3830 C ST

    LINCOLN, NE 685103539

    Phone: (402) 499-5876

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-25

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
I20250925001399IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68510)

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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: 4385539725View full group profile
NameSpecialtyState
Family PracticeNE
-NE
Physician AssistantNE
Physician AssistantNE
Physician AssistantNE
Physician AssistantNE
-NE

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARY GRACE REESE (PA-C)?
MARY GRACE REESE (PA-C) — NPI 1346123304 — is the standard way to identify this listing.
Can I rely on MARY GRACE REESE (PA-C) being an active provider?
As of the registry snapshot, MARY GRACE REESE (PA-C) is marked active.
What is MARY GRACE REESE (PA-C)'s specialty?
The listing groups MARY GRACE REESE (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MARY GRACE REESE (PA-C) on a map?
Expect Lincoln, Nebraska as a primary anchor for MARY GRACE REESE (PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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