Mikayla Grevengoed, PA
NPI 1215568175 · Physician Assistant · Omaha, NE
Mikayla Grevengoed, PA is a Physician Assistant provider in Omaha, NE (NPI 1215568175).
Provider details
- NPI number
- 1215568175
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 115612 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-01-30
- Last updated
- 2023-05-13
- Certified
- 2023-05-13
Frequently asked questions
- What is Mikayla Grevengoed's NPI number?
- Mikayla Grevengoed's National Provider Identifier (NPI) is 1215568175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mikayla Grevengoed's specialty?
- Mikayla Grevengoed is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mikayla Grevengoed located?
- Mikayla Grevengoed's practice location on file with NPPES is 8200 Dodge St, Omaha, NE 68114.
- What is Mikayla Grevengoed's phone number?
- The practice phone number listed in the NPPES registry for Mikayla Grevengoed is (402) 955-5400.
- Is Mikayla Grevengoed's NPI active?
- Yes — Mikayla Grevengoed's NPI (1215568175) is active in the NPPES registry as of the last update on 2023-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.