Provider Demographics
NPI:1053329664
Name:PIEPER, CYNTHIA S (PA-C)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:S
Last Name:PIEPER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:S
Other - Last Name:MAHALEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1500 S 48TH ST
Mailing Address - Street 2:STE 506
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1276
Mailing Address - Country:US
Mailing Address - Phone:402-489-1110
Mailing Address - Fax:402-489-8492
Practice Address - Street 1:1500 S 48TH ST
Practice Address - Street 2:STE 506
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1276
Practice Address - Country:US
Practice Address - Phone:402-489-1110
Practice Address - Fax:402-489-8492
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE578363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE37954OtherBCBS - LINC CARE
NE37953OtherBCBS - SEPN
NE2388OtherMIDLAND'S CHOICE
970023317Medicare PIN
NE2388OtherMIDLAND'S CHOICE
P19099Medicare UPIN
NE37953OtherBCBS - SEPN
NE37954OtherBCBS - LINC CARE