NICOLE LYNN HENN (PA-C) – Physician Assistant, NPI 1518196369

NICOLE LYNN HENN (PA-C) is a healthcare provider. based in Norfolk, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1454 (NE). The NPI Number for NICOLE LYNN HENN (PA-C) is 1518196369

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE LYNN HENN (PA-C)
NPI
1518196369
Phone
(402) 379-2322
Address
PO BOX 209
Enumeration Date
14 July 2009
Last Update Date
24 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
5597810143
Group Practice PAC ID
3678731650
Professional Enrollment ID
I20090902000593
Address ID
NE685241528LI4720XJXXX500

Contacts

Secure Messaging
david.samani.1@12649.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for NICOLE LYNN HENN (PA-C)

  • PO BOX 209

    NORFOLK, NE 687020209

    Phone: (402) 379-2322

    Fax: (402) 379-9533

    Type: Mailing

  • 2222 S 16TH ST STE 240

    LINCOLN, NE 685023764

    Phone: (402) 323-7260

    Fax: (402) 323-7266

    Type: Location

  • 4270 West Huntington Avenue

    Suite J

    Lincoln, NE 68524

    Phone: (402) 470-6055

    Fax: (402) 470-6056

    Type: Location

  • 1410, North 13th Street, Mackels Mobile Home Court, Norfolk, Madison County, Nebraska, 68701, United States

    NORFOLK, NE 68701

    Phone: (402) 379-2322

    Fax: (402) 379-0888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-11-30 • Largest payer in this snapshot: Orthofix Medical, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Orthofix Medical, Inc.$20
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: 2009-09-02

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
I20090902000593IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes3930$0
99214Established patient office or other outpatient visit, 30-39 minutes2924$0
99203New patient office or other outpatient visit, 30-44 minutes2222$0
36415Insertion of needle into vein for collection of blood sample2111$0
View full utilization report →

Insurance plans in this area (ZIP 68702)

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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: 3678731650View full group profile
NameSpecialtyState
Physician AssistantNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

Where can patients find NICOLE LYNN HENN (PA-C)'s NPI?
You can confirm NICOLE LYNN HENN (PA-C) with NPI 1518196369; it appears in the national provider directory.
Is NICOLE LYNN HENN (PA-C) active in the national directory?
NICOLE LYNN HENN (PA-C)'s public NPI profile is in an active state.
Does NICOLE LYNN HENN (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for NICOLE LYNN HENN (PA-C). Clinical services aligned with this taxonomy classification.
Does NICOLE LYNN HENN (PA-C) practice in Nebraska?
You will see Norfolk, Nebraska on file for NICOLE LYNN HENN (PA-C) alongside any extra practice locations.
What if Norfolk, Nebraska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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