MEDICARE: REAGAN ANN CRAIN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	2511	NE

General Provider Information

NPI Number	:	1588291843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REAGAN ANN CRAIN PA-C

Provider Business Mailing Address
First Line	:	PO BOX 3755
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68103-0755
Country	:	US
Telephone Number	:	402-354-2100
Fax Number	:	402-354-2155

Provider Business Practice Location Address
First Line	:	8111 DODGE ST STE 263
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-4118
Country	:	US
Telephone Number	:	402-354-8163
Fax Number	:	402-354-2416

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2020
Last Update Date	:	01/28/2025

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1992018162 — DR. JEFFREY SCOTT CARSON MD
Practice Location Address:

8111 DODGE ST STE 263
OMAHA, NE
68114-4118

Practice Phone: 402-354-8163
Practice Fax: 402-354-2416

1962817197 — BENJAMIN GRAMS M.D.
Practice Location Address:

8111 DODGE ST STE 263
OMAHA, NE
68114-4118

Practice Phone: 402-354-8163
Practice Fax: 402-354-2416

1821733064 — LAURA TRACEY PA-C
Practice Location Address:

8111 DODGE ST STE 263
OMAHA, NE
68114-4118

Practice Phone: 402-354-8163
Practice Fax: 402-354-2416

1932493822 — CHARLES DREW HEALTH CENTER INC
Practice Location Address:

1490 NORTH 16TH STREET
OMAHA, NE
68102-4118

Practice Phone: 402-346-8401
Practice Fax: 402-453-2061

1285090472 — CHARLES DREW HEALTH CENTER INC
Practice Location Address:

1490 NORTH 16TH STREET
OMAHA, NE
68102-4118

Practice Phone: 402-346-8401
Practice Fax: 402-453-2061

Directions to “ REAGAN ANN CRAIN PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.