Alexandra Beth Ensign , PA-C
Physician Assistant โข Omaha, NE
730 S 38th Ave
Omaha, NE 681051107
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Alexandra Ensign is listed in NPPES under Physician Assistant.
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NPI assigned on September 5, 2022; this date does not establish years in practice.
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Published CMS data list 856 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 232 service units.
- 99215 โ Established patient outpatient office visit: 128 service units.
- 99214 โ Established patient outpatient office visit: 122 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 10 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,965 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Levothyroxine Sodium โ 145 prescription fills, including refills.
- Atorvastatin Calcium โ 119 prescription fills, including refills.
- Lisinopril โ 101 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 62 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Omaha, NE (2024, 286 clinicians with data). Median for this group: 192. Middle half: 58 to 459.
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: 233. Middle half: 71 to 636.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 97 in 2023 to 856 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
730 S 38th Ave
Omaha, NE 681051107
CMS Doctors and Clinicians lists 1 group name: Unmc Physicians. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2022
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
391 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $40,027 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $29,073 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
3,509 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$116,177 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $47.66 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2022
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Alexandra Ensign has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Alexandra Ensign as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Omaha and Nebraska
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Omaha, NE (2024, 286 clinicians with data). Median for this group: 192. Middle half: 58 to 459.
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: 233. Middle half: 71 to 636.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Omaha, NE (2024, 286 clinicians with data). Median for this group: $11,242. Middle half: $4,026 to $22,942.
A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: $13,478. Middle half: $4,832 to $31,655.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Omaha, NE (2024, 286 clinicians with data). Median for this group: $7,879. Middle half: $2,947 to $17,089.
A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: $9,711. Middle half: $3,460 to $23,724.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Omaha, NE (2024, 279 clinicians with data). Median for this group: 206. Middle half: 63 to 655.
More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Nebraska (2024, 782 clinicians with data). Median for this group: 299. Middle half: 82 to 1,064.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Omaha, NE (2024, 279 clinicians with data). Median for this group: $3,409. Middle half: $515 to $65,684.
A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Nebraska (2024, 782 clinicians with data). Median for this group: $7,125. Middle half: $758 to $101,074.
546 active clinicians are listed under Physician Assistant with a practice address in Omaha, NE (1,352 in Nebraska).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Omaha
12.8% of these 546 clinicians have the CMS telehealth indicator.
67.6% of these 546 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 782% from 97 in 2023 to 856 in 2024.
- 2023: 97
- 2024: 856
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Medicare-allowed amount
Medicare-allowed amount increased 611% from $5,632 in 2023 to $40,027 in 2024.
- 2023: $5,632
- 2024: $40,027
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Paid by Medicare
Paid by Medicare increased 642% from $3,917 in 2023 to $29,073 in 2024.
- 2023: $3,917
- 2024: $29,073
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 2083% from 90 in 2023 to 1,965 in 2024.
- 2023: 90
- 2024: 1,965
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30-day fills
30-day fills increased 3242% from 105 in 2023 to 3,509 in 2024.
- 2023: 105
- 2024: 3,509
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Part D drug cost
Part D drug cost went from $962 in 2023 to $116,177 in 2024.
- 2023: $962
- 2024: $116,177
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $46.41 in 2023 to $47.66 in 2025.
- 2023: $46.41
- 2025: $47.66
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $47.66.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
|
INGREZZA | General | $47.66 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2023โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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232 | 196 | $45.00 | $12.91 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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128 | 115 | $350.00 | $79.97 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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122 | 113 | $245.00 | $65.90 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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106 | 106 | $275.00 | $54.31 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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98 | 93 | $160.00 | $52.11 |
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G0136
Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes
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47 | 47 | $20.00 | $7.14 |
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99496
Transitional care management services for problem of high complexity
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39 | 34 | $549.95 | $103.69 |
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99441
Telephone medical discussion with physician, 5-10 minutes
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33 | 32 | $90.00 | $27.30 |
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99495
Transitional care management services for problem of at least moderate complexity
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28 | 27 | $399.77 | $73.34 |
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G2212
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
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23 | 18 | $78.50 | $24.29 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 145 | 8,830 | $1,528.51 | 45 |
| Atorvastatin Calcium | Atorvastatin Calcium | 119 | 8,108 | $1,005.84 | 51 |
| Lisinopril | Lisinopril | 101 | 7,404 | $588.77 | 38 |
| Amlodipine Besylate | Amlodipine Besylate | 67 | 4,700 | $415.13 | 28 |
| Omeprazole | Omeprazole | 66 | 4,335 | $666.70 | 24 |
| Eliquis | Apixaban | 64 | 2,827 | $55,456.67 | 18 |
| Sertraline Hcl | Sertraline Hcl | 62 | 2,539 | $242.05 | 22 |
| Carvedilol | Carvedilol | 51 | 2,047 | $472.36 | 12 |
| Pantoprazole Sodium | Pantoprazole Sodium | 49 | 2,982 | $601.35 | 16 |
| Duloxetine Hcl | Duloxetine Hcl | 49 | 2,504 | $567.78 | 14 |
| Losartan Potassium | Losartan Potassium | 48 | 3,272 | $229.54 | 22 |
| Doxycycline Hyclate | Doxycycline Hyclate | 47 | 429 | $528.41 | 45 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 47 | 2,598 | $356.37 | 13 |
| Furosemide | Furosemide | 45 | 1,877 | $176.84 | 13 |
| Metoprolol Succinate | Metoprolol Succinate | 45 | 3,432 | $319.29 | 16 |
| Gabapentin | Gabapentin | 43 | 2,544 | $577.96 | 14 |
| Mirtazapine | Mirtazapine | 42 | 1,564 | $770.65 | 11 |
| Pregabalin | Pregabalin | 39 | 1,379 | $772.09 | 15 |
| Fluticasone Propionate | Fluticasone Propionate | 38 | 1,410 | $599.88 | 19 |
| Donepezil Hcl | Donepezil Hcl | 37 | 2,058 | $197.35 | 11 |
| Escitalopram Oxalate | Escitalopram Oxalate | 32 | 1,290 | $234.69 | โ |
| Trazodone Hcl | Trazodone Hcl | 29 | 1,937 | $180.26 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 28 | 1,284 | $80.70 | โ |
| Paxlovid | Nirmatrelvir/Ritonavir | 27 | 136 | $0.00 | 27 |
| Metformin Hcl | Metformin Hcl | 26 | 1,676 | $155.75 | 11 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-12-12NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20230310000885
NE
0244603389
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Unmc Physicians
20310 Blue Sage Pkwy, Omaha, NE 681303746
Phone: 4025590111
Unmc Physicians
Emile 42nd St, Omaha, NE 681980001
Phone: 4025594015
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychiatry & Neurology - Geriatric Psychiatry
Doctor of Medicine (M.D.)
Internal Medicine - Geriatric Medicine
Doctor of Medicine (M.D.)
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Internal Medicine - Geriatric Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Geriatric Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Geriatric Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as ALEXANDRA ENSIGN, PA-C
Student in an Organized Health Care Education/Training Program
Registered at 730 S 38TH AVE, OMAHA, NE 681051107 (Tel: 4025599600)
Registered at 730 S 38TH AVE, OMAHA, NE 681051107
Physician Assistant (license number reported to NPPES: IA 117493)
Registered at 3308 SAMSON WAY STE 101, BELLEVUE, NE 681233235 (Tel: 4022913373)
Registered at 7261 MERCY RD, OMAHA, NE 681242311
Recorded as ALEXANDRA MCCASHLAND, PA-C
NPI status registered as active in NPPES database
Registered at 18638 GOLD CIR, OMAHA, NE 681303705 (Tel: 4023201910)
Registered at 18638 GOLD CIR, OMAHA, NE 681303705 (Tel: 4023201910)
Recorded as ALEXANDRA MCCASHLAND
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Omaha
- Vanessa Potter, PA-C
- Jessica Brittan, PA-C
- Lorraine Nabity, PC-C
- David Johnson, PA-C
- Andrea Kuester, PA
- Barbara Roessner, PA-C
Mailing Address
730 S 38th Ave
Omaha, NE 681051107