Samone Marie Wulf, PA-C
Physician Assistant in Lincoln, NE. Individual provider (NPI-1).
NPI number1962035576
StatusActive
Last updated in NPPESApr 29, 2021
Details
- NPI
- 1962035576
- Entity type
- Individual (NPI-1)
- Name
- Samone Marie Wulf
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2020
- Certification date
- Apr 29, 2021
- Last updated
- Apr 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2456 | NE | Yes |
Other names
- Samone Marie Pabst (Former Name)
Practice location
3901 Pine Lake Rd Ste 120Lincoln, NE 68516-5497
Phone 402-420-1212 · Fax 402-328-0961
Mailing address
3901 Pine Lake Rd Ste 120Lincoln, NE 68516-5497
Phone 402-420-3417 · Fax 402-328-0961
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