VICKI LEE BANGERT PA
NPI 1225173859
Physician Assistant - Medical in Omaha, NE

NPI Status: Active since February 21, 2007

Contact Information

4920 S 30TH ST
SUITE 103
OMAHA, NE
ZIP 68107
Phone: (402) 734-4110
Fax: (402) 991-5642

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  • Individual
  • Female
  • Years of Experience 20
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About VICKI BANGERT

This page provides the complete NPI Profile along with additional information for Vicki Bangert, a primary care provider established in Omaha, Nebraska with a medical specialization in Physician Assistant, focusing in medical and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1225173859 assigned on February 2007. The practitioner's primary taxonomy code is 363AM0700X with license number 1291 (NE). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1225173859
Provider Name
VICKI LEE BANGERT PA
Other Name
VICKI LEE PETHOUD PA
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
4920 S 30TH ST SUITE 103 OMAHA, NE 68107
Location Phone
(402) 734-4110
Location Fax
(402) 991-5642
Mailing Address
4920 S 30TH ST SUITE 103 OMAHA, NE 68107
Mailing Phone
(402) 734-4110
Mailing Fax
(402) 991-5642
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
02-21-2007
Last Update Date
07-08-2007
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A primary care provider (PCP) like Vicki Bangert sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1291
License State
NE

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • Elevate by Medica Bronze $0 Copay PCP Visits - EPO
  • Elevate by Medica Bronze Premier - EPO
  • Elevate by Medica Bronze Share - EPO
  • Elevate by Medica Expanded Bronze Standard - EPO
  • Elevate by Medica Gold $0 Copay PCP Visits - EPO
  • Elevate by Medica Gold Share - EPO
  • Elevate by Medica Gold Standard - EPO
  • Elevate by Medica Silver $0 Copay PCP Visits - EPO
  • Elevate by Medica Silver Share - EPO
  • Elevate by Medica Silver Standard - EPO
  • Bronze Classic - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Gold Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Vicki Bangert is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Vicki Bangert is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4789757188

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20080717000731

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for VICKI LEE BANGERT PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1225173859
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245276810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 2 + 7 + 6 + 8 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1225173859 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477531572 JULIE KAY KLAHN APRN
Individual
Nurse Practitioner (School)4920 S 30TH ST STE 103
OMAHA, NE 68107
(402) 502-8846
1861421562 RUTH NAOMI MARGALIT MD
Individual
Internal Medicine4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1902837917ONE WORLD COMMUNITY HEALTH CENTERS INC.
Organization
Pharmacy4920 S 30TH ST STE 103
OMAHA, NE 68107
(402) 502-5832
1255364568 HENRY JOHN DETHLEFS MD
Individual
Family Medicine4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1992728596 COURTNEY J ALLEN CNM
Individual
Advanced Practice Midwife4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1639184039 LEAH S JORGENSEN APRN
Individual
Nurse Practitioner (Family)4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1194821272 ELOISE COWLING POYNER APRN
Individual
Nurse Practitioner (Women's Health)4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1851487847 DONNA LYNNE FABER MD
Individual
Family Medicine4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1649332834 COLLEEN A. MURPHY APRN
Individual
Nurse Practitioner (Pediatrics)4920 S 30TH ST SUITE103
OMAHA, NE 68107
(402) 734-4110
1659416774 BETHANY JEAN LEVY PA
Individual
Physician Assistant (Medical)4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1669599593 MONICA MARIA VARGAS MD
Individual
Pediatrics4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1801096748 SARAH WAETZIG MILLER APRN
Individual
Nurse Practitioner (Pediatrics)4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1538322979MRS. COLLEEN MARIE HANNA-SLAGLE M.D.
Individual
Pediatrics4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 502-8846
1801024724 PENNILEE STEPHENS WEST CNM
Individual
Nurse Practitioner (Obstetrics & Gynecology)4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1578794392 KARA L. HIGGINS APRN - CNM
Individual
Nurse Practitioner (Obstetrics & Gynecology)4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1740589431 TESSA L. HERRMANN PT
Individual
Physical Therapist4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1972880953 JOHN JACOB MISCHKE PT
Individual
Physical Therapist4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1730459728 RANULFO FERNANDO PULIDO MENDEZ PLMHP
Individual
Counselor (Mental Health)4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-4110
1235404864 GRACE ELLEN SOURILE RD
Individual
Dietitian, Registered4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-2028
1831464080 LISA L. STEINBACH RD
Individual
Dietitian, Registered4920 S 30TH ST SUITE 103
OMAHA, NE 68107
(402) 734-2028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225173859, enumerated in the NPI registry as an "individual" on February 21, 2007

The provider is located at 4920 S 30th St Suite 103 Omaha, Ne 68107 and the phone number is (402) 734-4110

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 20 years of experience.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on February 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.