NICOLE LEE SWARTZENDRUBER (PA-C) – Physician Assistant, NPI 1790461440

NICOLE LEE SWARTZENDRUBER (PA-C) is a healthcare provider. based in York, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3235 (NE). The NPI Number for NICOLE LEE SWARTZENDRUBER (PA-C) is 1790461440

Main info

Female
2 Years Of Experience
Name
NICOLE LEE SWARTZENDRUBER (PA-C)
NPI
1790461440
Phone
(402) 362-5555
Address
2222 N LINCOLN AVE
Enumeration Date
27 June 2023
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4023626671
Graduation Year
2024 (2 years ago)
PAC ID
1951824275
Group Practice PAC ID
9234021080
Professional Enrollment ID
I20250327002828
Address ID
NE684671030YO2222XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for NICOLE LEE SWARTZENDRUBER (PA-C)

  • 2222 N LINCOLN AVE

    YORK, NE 684671030

    Phone: (402) 362-5555

    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: 2025-03-27

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
I20250327002828IPhysician 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 68467)

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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: 9234021080View full group profile
NameSpecialtyState
Family PracticeNE
Family PracticeNE
Physician AssistantNE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
Family PracticeNE
Family PracticeNE
Certified Registered Nurse Anesthetist (Crna)NE
Physician AssistantNE
-NE

Reviews

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Frequently asked questions

What NPI should I save for NICOLE LEE SWARTZENDRUBER (PA-C)?
Save NPI 1790461440 if you need a stable reference for NICOLE LEE SWARTZENDRUBER (PA-C).
Is NICOLE LEE SWARTZENDRUBER (PA-C)'s NPI currently valid?
The extract we use shows NICOLE LEE SWARTZENDRUBER (PA-C) as active.
What does NICOLE LEE SWARTZENDRUBER (PA-C) treat or focus on?
Patients typically see NICOLE LEE SWARTZENDRUBER (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for NICOLE LEE SWARTZENDRUBER (PA-C)?
We surface York, Nebraska for NICOLE LEE SWARTZENDRUBER (PA-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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