JOHN BARRETT WALDREP (PA-C) – Physician Assistant, NPI 1649684184
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
Provider Addresses for JOHN BARRETT WALDREP (PA-C)
7120 S 69TH ST STE 101A
LINCOLN, NE 685163868
Phone: (402) 520-8955
Fax: (833) 471-5257
Type: Mailing
7111 A St Ste 200
Lincoln, NE 685104283
Phone: (402) 489-7100
Type: Location
PO BOX 157
BENNET, NE 683170157
Phone: (402) 525-9334
Type: Mailing
202 HIGH ST
SUITE 100
TECUMSEH, NE 684502443
Phone: (402) 335-2811
Fax: (402) 335-2821
Type: Location
PO BOX 583
TECUMSEH, NE 684500583
Phone: (402) 335-2811
Type: Mailing
202 HIGH ST STE 100
TECUMSEH, NE 684502443
Phone: (402) 335-2811
Fax: (402) 335-2821
Type: Location
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: 2014-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1042 days ago).
Enrollment records
1
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140723000918 | I | Physician Assistant | NE | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 68516)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NE | |
| Nurse Practitioner | NE | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE |
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