Physician Assistant
Mrs. MIKAYLA GREVENGOED PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1215568175 · enumerated 2020-01-30 · record updated 2023-05-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: MIKAYLA LOCKE
Addresses and phones
- Practice location 8200 DODGE ST, OMAHA, NE, 68114 (402) 955-5400 Fax (402) 955-4364 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 24607, OMAHA, NE, 68124 (402) 955-5400 Fax (402) 955-3674 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 115612 IA
- Physician Assistant, Medical 363AM0700X · License 2429 NE
- Physician Assistant 363A00000X · Primary · License 2429 NE
In this directory
Locations and evidence
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Practice location
OMAHA, NE, 68114
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.