Your Search Results

Thank you for requesting this printer-friendly view of your search results. This provider list reflects the search criteria you selected. Your search criteria is shown at the top of the first page, and includes the health plan, provider type and geographic location you selected.

Provider information contained in Aetna's online directory is updated 6 days a week. This excludes Sundays or interruptions due to system maintenance, upgrades or unplanned outages. Please check with the provider before scheduling your appointment to confirm he or she is participating in Aetna's network. The availability of any particular provider cannot be guaranteed.

Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna.

Your printout will show as one list. It doesn't distinguish whether a doctor is in a designated network or not. To see which network the doctor is in, refer to the online directory. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 5001823 Provider ID #: 7232508 Provider ID #: 9638147 Provider ID #: 4003652 Primary Office #: 5001823 Primary Office #: 7232508 Primary Office #: 9638147 Primary Office #: 4003652 Abe, Lindee, APRN Andresen, John C., MD Balk, Samuel Kent, PA-C Beer, Robert Allan, MD Nurse Practitioner Pediatrics Physician Assistant Family Practice 4220 L Street 5018 Underwood Avenue 4229 North 90th Street 17030 Lakeside Hills Plaza Omaha, NE 68107 Suite 200 Omaha, NE 68134 Suite 130 (402) 733-4433 Omaha, NE 68132 (402) 401-6000 Omaha, NE 68130 (402) 991-5678 (402) 758-5150 Provider ID #: 4082035 Provider ID #: 9070111 Primary Office #: 4082035 Provider ID #: 7376578 Primary Office #: 9070111 Provider ID #: 9828342 Al-Turk, Mohammad A., MD Primary Office #: 7376578 Bangert, Vicki L., PA-C Primary Office #: 9828342 Family Practice Anglim, Katherine E., MD Physician Assistant Belin, Marie M., MD 16909 Lakeside Hills Court Pediatrics 4920 South 30th Street Pediatrics Suite 300 13808 West Maple Road Suite 103 18018 Burke Street Omaha, NE 68130 Suite 100 Omaha, NE 68107 Elkhorn, NE 68022 (402) 758-5400 Omaha, NE 68164 (402) 734-4110 (402) 573-7337 (402) 955-3000 Provider ID #: 7763512 Provider ID #: 6102016 Provider ID #: 9208626 Primary Office #: 7763512 Provider ID #: 9713400 Primary Office #: 6102016 Primary Office #: 9208626 Allen, David Ray, MD Primary Office #: 9713400 Barnard, Tabitha, ARNP Beran, Margaret M., MD Internal Medicine Ariyarathna, Krishan, MD Nurse Practitioner Obstetrics & Gynecology 16909 Lakeside Hills Court General Practice 11109 South 84th Street 10109 Maple Street Suite 105 17030 Lakeside Hills Plaza Suite 5800 Omaha, NE 68134 Omaha, NE 68130 Omaha, NE 68130 Papillion, NE 68046 (402) 572-3790 (402) 758-5800 (402) 758-5280 (402) 827-4900 Provider ID #: 6096384 Provider ID #: 9265091 Provider ID #: 7625987 Provider ID #: 6102016 Primary Office #: 6096384 Primary Office #: 9265091 Primary Office #: 7625987 Primary Office #: 6102016 Berglund, Laurie W., MSN Allen-Cowardin, Courtney J., CNM Ascanio, Nicole M., MD Barnard, Tabitha, ARNP Nurse Practitioner Midwife Family Practice Nurse Practitioner 8200 Dodge Street 4920 South 30th Street 5005 South 153rd Street 8141 West Center Road Omaha, NE 68114 Suite 103 Omaha, NE 68137 Suite 200 (402) 955-3953 Omaha, NE 68107 (402) 717-9100 Omaha, NE 68124 (402) 734-4110 (402) 717-3000 Provider ID #: 5234984 Provider ID #: 9997181 Primary Office #: 5234984 Provider ID #: 9265091 Primary Office #: 9997181 Provider ID #: 5506997 Binalsheikh, Ibrahim Makki, MD Primary Office #: 9265091 Asher, Nathan G., MD Primary Office #: 5506997 Pediatrics Allen-Cowardin, Courtney J., CNM Pediatrics Bauer, Ariana A., MD 987400 Nebraska Medical Center Midwife 7205 West Center Road Internal Medicine Omaha, NE 68198 4930 South 30th Street Suite 104 14080 Boys Town Hospital Road (402) 552-2000 Omaha, NE 68107 Omaha, NE 68124 Boys Town, NE 68010 (402) 734-4110 (402) 392-7684 (531) 355-6900 Provider ID #: 5234984 Primary Office #: 5234984 Provider ID #: 5456050 Provider ID #: 9997181 Provider ID #: 9462853 Binalsheikh, Ibrahim Makki, MD Primary Office #: 5456050 Primary Office #: 9997181 Primary Office #: 9462853 Pediatrics Amstutz, Kenton R., MD Asher, Nathan G., MD Beckman, Ashley A., PA-C 8200 Dodge Street Pediatrics Pediatrics Physician Assistant Omaha, NE 68114 14080 Boys Town Hospital Road 14080 Boys Town Hospital Road 17030 Lakeside Hills Plaza (402) 955-5372 Boys Town, NE 68010 Boys Town, NE 68010 Suite 200 (402) 778-6900 (402) 778-6900 Omaha, NE 68130 Provider ID #: 7588081 (402) 399-8550 Primary Office #: 7588081 Provider ID #: 4528134 Provider ID #: 9321540 Blazek, Toni A., APRN Primary Office #: 4528134 Primary Office #: 9321540 Provider ID #: 9462853 Nurse Practitioner Andersen, Mark D., MD Avant, Brenda I., APRN Primary Office #: 9462853 987400 Nebraska Medical Center Family Practice Nurse Practitioner Beckman, Ashley A., PA-C Omaha, NE 68198 16101 Evans Street 8204 Crown Point Physician Assistant (406) 559-6275 Omaha, NE 68116 Omaha, NE 68134 8005 Farnam Drive (402) 717-9700 (402) 451-3553 Suite 305 Provider ID #: 7588081 Omaha, NE 68114 Primary Office #: 7588081 Provider ID #: 7069624 Provider ID #: 5814785 (402) 398-9243 Blazek, Toni A., APRN Primary Office #: 7069624 Primary Office #: 5814785 Nurse Practitioner Anderson, S., MD Bailey, Cynthia R., MSN Emile Street And South 42nd Street Pediatrics Nurse Practitioner Omaha, NE 68198 18018 Burke Street 8200 Dodge Street (402) 559-6275 Elkhorn, NE 68022 Omaha, NE 68114 (402) 573-7337 (402) 955-4748

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 7588081 Provider ID #: 4366980 Provider ID #: 9923767 Provider ID #: 4172405 Primary Office #: 7588081 Primary Office #: 4366980 Primary Office #: 9923767 Primary Office #: 4172405 Blazek, Toni A., APRN Braun, Emily Grace, MD Butkus, Terry T., ARNP Childrens Specialty Physician Nurse Practitioner Pediatrics Nurse Practitioner Cantrell, Jodi, MD 8200 Dodge Street 2520 South 130 Avenue 8248 South 96 Street Pediatrics Omaha, NE 68114 Omaha, NE 68144 La Vista, NE 68128 987400 Nebraska Medical Center (402) 955-5570 (402) 769-7077 (402) 717-9580 Omaha, NE 68198 (402) 955-2000 Provider ID #: 7746619 Provider ID #: 5395897 Provider ID #: 9923767 Primary Office #: 7746619 Primary Office #: 5395897 Primary Office #: 9923767 Provider ID #: 4082041 Books, Heather L., MD Bridges, Constance, ARNP Butkus, Terry T., ARNP Primary Office #: 4082041 Pediatrics Nurse Practitioner Nurse Practitioner Carnazzo, Jane Marie, MD 8200 Dodge Street 1130 North 204 Avenue 16101 Evans Street Pediatrics Omaha, NE 68114 Elkhorn, NE 68022 Omaha, NE 68116 4224 South 50th Street (402) 955-5150 (402) 758-5452 (402) 717-9797 Omaha, NE 68117 (402) 955-7474 Provider ID #: 5488238 Provider ID #: 5341905 Provider ID #: 9923767 Primary Office #: 5488238 Primary Office #: 5341905 Primary Office #: 9923767 Provider ID #: 4852416 Borrege, Joan Elizabeth, MD Brown Keebler, Amber K., MD Butkus, Terry T., ARNP Primary Office #: 4852416 Internal Medicine Internal Medicine Nurse Practitioner Carosella, Angela Suzanne, APRN 7832 Davenport Street 8248 South 96 Street 4220 L Street Nurse Practitioner Omaha, NE 68114 La Vista, NE 68128 Omaha, NE 68107 701 Pinnacle Drive (402) 397-5754 (402) 717-9500 (402) 717-7050 Suite 105 Papillion, NE 68046 Provider ID #: 9656915 Provider ID #: 7559831 Provider ID #: 4482012 (402) 505-7989 Primary Office #: 9656915 Primary Office #: 7559831 Primary Office #: 4482012 Bosanek, Mindy R., APRN Bruce, Jason C., MD Byrne, Thomas M., MD Provider ID #: 5558121 Nurse Practitioner Pediatrics Pediatrics Primary Office #: 5558121 4825 Dodge Street 14080 Boys Town Hospital Road 18018 Burke Street Chanlatte-Garcia, Jacqueline O., Omaha, NE 68132 Boys Town, NE 68010 Elkhorn, NE 68022 MD (402) 955-7650 (402) 498-6580 (402) 573-7337 Internal Medicine 4242 Farnam Street Provider ID #: 9656915 Provider ID #: 6010166 Provider ID #: 5844894 Suite 150 Primary Office #: 9656915 Primary Office #: 6010166 Primary Office #: 5844894 Omaha, NE 68131 Bosanek, Mindy R., APRN Bruhn, Nicholle S., MSN Calabro, Cheryl, APRN (402) 552-2212 Nurse Practitioner Nurse Practitioner Nurse Practitioner 9801 Giles Road 19102 Q Street 14080 Boys Town Hospital Road Provider ID #: 7512628 Suite 1 Suite 102 Boys Town, NE 68010 Primary Office #: 7512628 La Vista, NE 68128 Omaha, NE 68135 (402) 778-6900 Christensen, Michelle R., PA-C (402) 955-7200 (402) 330-5690 Physician Assistant Provider ID #: 5715145 4920 South 30th Street Provider ID #: 9656915 Provider ID #: 4944572 Primary Office #: 5715145 Suite 103 Primary Office #: 9656915 Primary Office #: 4944572 Calderon, Cicero M., MD Omaha, NE 68107 Bosanek, Mindy R., APRN Bryson, Reem, PA-C Pediatrics (402) 734-4110 Nurse Practitioner Physician Assistant 16909 Q Street 110 North 175th Street 5005 South 153rd Street Omaha, NE 68135 Provider ID #: 7512628 Suite 1000 Suite 100 (402) 955-7575 Primary Office #: 7512628 Omaha, NE 68118 Omaha, NE 68137 Christensen, Michelle R., PA-C (402) 955-8300 (402) 717-9100 Provider ID #: 7794934 Physician Assistant Primary Office #: 7794934 4910 South 30th Street Provider ID #: 7857066 Provider ID #: 7252553 Campbell, Jeremy S., PA-C Omaha, NE 68107 Primary Office #: 7857066 Primary Office #: 7252553 Physician Assistant (402) 734-4110 Bowen, J. Russell, MD Budine, Melanie J., CNP 14214 U Street Family Practice Nurse Practitioner Omaha, NE 68137 Provider ID #: 4164095 16909 Lakeside Hills Court 2520 South 130 Avenue (402) 896-1242 Primary Office #: 4164095 Suite 300 Omaha, NE 68144 Christner, Kimberly D., MD Omaha, NE 68130 (402) 769-7077 Provider ID #: 7794934 Pediatrics (402) 758-5400 Primary Office #: 7794934 18018 Burke Street Provider ID #: 4783108 Campbell, Jeremy S., PA-C Elkhorn, NE 68022 Provider ID #: 9157930 Primary Office #: 4783108 Physician Assistant (402) 573-7337 Primary Office #: 9157930 Buetow, Ryan G., APRN 8248 South 96 Street Brady, Linda A., ACRNP Nurse Practitioner Suite 100 Nurse Practitioner 14000 Boys Town Hospital Road La Vista, NE 68128 14000 Boys Town Hospital Road Boys Town, NE 68010 (402) 717-9580 Boys Town, NE 68010 (531) 355-6000 (402) 778-6900

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 4164095 Provider ID #: 9594164 Provider ID #: 5542682 Provider ID #: 5098164 Primary Office #: 4164095 Primary Office #: 9594164 Primary Office #: 5542682 Primary Office #: 5098164 Christner, Kimberly D., MD Dada, Kristina A., PA-C Davey, Kurt A., MD Desai, Alka, MD Pediatrics Physician Assistant Pediatrics Pediatrics 5018 Underwood Avenue 11109 South 84th Street 5018 Underwood Avenue 13808 West Maple Road Suite 200 Suite 1820 Suite 200 Suite 100 Omaha, NE 68132 Papillion, NE 68046 Omaha, NE 68132 Omaha, NE 68164 (402) 991-5678 (402) 717-9600 (402) 991-5678 (402) 955-3000

Provider ID #: 7703159 Provider ID #: 9594164 Provider ID #: 5100497 Provider ID #: 5164257 Primary Office #: 7703159 Primary Office #: 9594164 Primary Office #: 5100497 Primary Office #: 5164257 Cohen, Michael D., MD Dada, Kristina A., PA-C Davidian, Michael, MD Dethlefs, Henry J., MD Pediatrics Physician Assistant Internal Medicine Family Practice 18018 Burke Street 7710 Mercy Road 5002 Underwood Avenue 4920 South 30th Street Elkhorn, NE 68022 Suite 3000 Omaha, NE 68132 Suite 103 (402) 573-7337 Omaha, NE 68124 (402) 717-0785 Omaha, NE 68107 (402) 717-9600 (402) 734-4110 Provider ID #: 7586833 Provider ID #: 5443936 Primary Office #: 7586833 Provider ID #: 9594164 Primary Office #: 5443936 Provider ID #: 5164257 Collins, Daoka B., APRN Primary Office #: 9594164 Davis, Kathleen Elizabeth, MD Primary Office #: 5164257 Nurse Practitioner Dada, Kristina A., PA-C Pediatrics Dethlefs, Henry J., MD 8200 Dodge Street Physician Assistant 4802 Shannon Drive Family Practice Omaha, NE 68114 7710 Mercy Road Bellevue, NE 68133 4930 South 30th Street (402) 955-4385 Suite 326 (402) 955-7600 Omaha, NE 68107 Omaha, NE 68124 (402) 734-4110 Provider ID #: 7410472 (402) 717-9600 Provider ID #: 9676748 Primary Office #: 7410472 Primary Office #: 9676748 Provider ID #: 5164257 Connolly, Christopher J., MD Provider ID #: 5056801 Dawson, Michael G., MD Primary Office #: 5164257 Family Practice Primary Office #: 5056801 Pediatrics Dethlefs, Henry J., MD 13315 West Center Road Darby, Bobbie J., APRN 14043 Brookhouse Road Family Practice Suite 100 Nurse Practitioner Boys Town, NE 68010 4910 South 30th Street Omaha, NE 68144 4802 Shannon Drive (531) 355-7300 Omaha, NE 68107 (402) 717-9400 Bellevue, NE 68133 (402) 734-4110 (402) 955-7600 Provider ID #: 7678501 Provider ID #: 7492101 Primary Office #: 7678501 Provider ID #: 7882383 Primary Office #: 7492101 Provider ID #: 5917874 Defini, Keith M., PA-C Primary Office #: 7882383 Cook, J Paul, MD Primary Office #: 5917874 Physician Assistant Direnzo-Coffey, Gina R., MD Family Practice Dart, Laura J., PA-C 8005 Farnam Drive Pediatrics 17241 Oak Drive Physician Assistant Suite 305 14043 Brookhouse Road Suite 101 16101 Evans Street Omaha, NE 68114 Boys Town, NE 68010 Omaha, NE 68130 Omaha, NE 68116 (402) 398-9243 (531) 355-7300 (402) 896-1242 (402) 717-9700 Provider ID #: 7215155 Provider ID #: 7882383 Provider ID #: 9832563 Provider ID #: 5917874 Primary Office #: 7215155 Primary Office #: 7882383 Primary Office #: 9832563 Primary Office #: 5917874 Dek, Mary C., MD Direnzo-Coffey, Gina R., MD Childrens Specialty Physician Dart, Laura J., PA-C Pediatrics Pediatrics Cramer, Jonathan W., MD Physician Assistant 18018 Burke Street 14080 Boys Town Hospital Road Internal Medicine 8248 South 96 Street Elkhorn, NE 68022 Boys Town, NE 68010 987400 Nebraska Medical Center Suite 100 (402) 573-7337 (402) 778-6900 Omaha, NE 68198 La Vista, NE 68128 (402) 955-2000 (402) 717-9500 Provider ID #: 9720697 Provider ID #: 9826765 Primary Office #: 9720697 Primary Office #: 9826765 Provider ID #: 4028164 Provider ID #: 5542682 Depew, Zachary S., MD Drake, Jamie A., MD Primary Office #: 4028164 Primary Office #: 5542682 General Practice Pediatrics Czaplewski, Rodney Robert, MD Davey, Kurt A., MD Internal Medicine 4835 Dodge Street Family Practice Pediatrics 7710 Mercy Road Omaha, NE 68132 2429 M Street 18018 Burke Street Suite 326 (402) 955-7676 Omaha, NE 68107 Elkhorn, NE 68022 Omaha, NE 68124 (402) 731-7333 (402) 573-7337 (402) 449-4486 Provider ID #: 6589589 Primary Office #: 6589589 Childrens Specialty Physician Dreesen, Morgan B., MD Pediatrics 987400 Nebraska Medical Center Omaha, NE 68198 (402) 955-2000

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 5693086 Provider ID #: 5488498 Provider ID #: 4145916 Provider ID #: 5963406 Primary Office #: 5693086 Primary Office #: 5488498 Primary Office #: 4145916 Primary Office #: 5963406 Dunning, J. Douglas, MD Eugenio, Emmanuel E., MD Felder, Tiffany D., NP Fulton, Kristen B., MD Family Practice Pediatrics Nurse Practitioner Internal Medicine 16909 Lakeside Hills Court 110 North 175th Street 8204 Crown Point 8248 South 96th Street Suite 300 Suite 1000 Omaha, NE 68134 La Vista, NE 68128 Omaha, NE 68130 Omaha, NE 68118 (402) 451-3553 (402) 717-9500 (402) 717-8338 (402) 955-8300 Provider ID #: 9158435 Provider ID #: 5041380 Provider ID #: 9741395 Provider ID #: 5016858 Primary Office #: 9158435 Primary Office #: 5041380 Primary Office #: 9741395 Primary Office #: 5016858 Felker, Pauline M., APRN Fulton, Michael J., MD Dworak, Alex, MD Euteneuer, Joshua C., MD Nurse Practitioner Internal Medicine Family Practice Pediatrics 7710 Mercy Road 8248 South 96th Street 4920 South 30th Street 7500 Mercy Road Suite 1000 La Vista, NE 68128 Suite 103 Omaha, NE 68124 Omaha, NE 68124 (402) 717-9500 Omaha, NE 68107 (402) 398-6060 (402) 717-3600 (402) 734-4110 Provider ID #: 4954526 Provider ID #: 5016858 Provider ID #: 7230607 Primary Office #: 4954526 Provider ID #: 7888503 Primary Office #: 5016858 Primary Office #: 7230607 Fynbu Eggert, Clara J., APRN Primary Office #: 7888503 Euteneuer, Joshua C., MD Fernandez, Cristina, MD Nurse Practitioner Edwards, Earline J., NP Pediatrics Pediatrics 4920 South 30th Street Nurse Practitioner 8200 Dodge Street 8200 Dodge Street Suite 103 8200 Dodge Street Omaha, NE 68114 Omaha, NE 68114 Omaha, NE 68107 Omaha, NE 68114 (402) 955-6140 (402) 955-5400 (402) 734-4110 (402) 955-3871 Provider ID #: 7732948 Provider ID #: 6580391 Provider ID #: 4954526 Provider ID #: 5251022 Primary Office #: 7732948 Primary Office #: 6580391 Primary Office #: 4954526 Primary Office #: 5251022 Faber, Donna Lynne, MD Finocchiaro, Maria E., ARNP Fynbu Eggert, Clara J., APRN Eirinberg, Lewis W., MD Family Practice Nurse Practitioner Nurse Practitioner Family Practice 4920 South 30th Street 16901 Lakeside Hills Court 4910 South 30th Street 16101 Evans Street Suite 103 Suite 300 Omaha, NE 68107 Omaha, NE 68116 Omaha, NE 68107 Omaha, NE 68130 (402) 734-4110 (402) 717-9700 (402) 734-4110 (402) 758-5400 Provider ID #: 9880072 Provider ID #: 4541302 Provider ID #: 7732948 Provider ID #: 6395430 Primary Office #: 9880072 Primary Office #: 4541302 Primary Office #: 7732948 Primary Office #: 6395430 Garris, Matt, PA-C Embach, Kevin, MD Faber, Donna Lynne, MD Fiorini, Alexis R., APRN Physician Assistant Internal Medicine Family Practice Nurse Practitioner 17241 Oak Drive 7710 Mercy Road 4930 South 30th Street 4220 L Street Suite 101 Suite 3000 Omaha, NE 68107 Omaha, NE 68107 Omaha, NE 68130 Omaha, NE 68124 (402) 734-4110 (402) 733-4433 (402) 896-1242 (402) 717-0800 Provider ID #: 7732948 Provider ID #: 4049453 Provider ID #: 5070957 Provider ID #: 4752980 Primary Office #: 7732948 Primary Office #: 4049453 Primary Office #: 5070957 Primary Office #: 4752980 Faber, Donna Lynne, MD Fitzgibbons, William P., MD Gartin, Debra A., APRN Empson, Danielle, MD Family Practice Family Practice Nurse Practitioner Pediatrics 4910 South 30th Street 1908 North 203rd Street 8200 Dodge Street 14080 Hospital Road Omaha, NE 68107 Suite 2 Omaha, NE 68114 Boys Town, NE 68010 (402) 734-4110 Elkhorn, NE 68022 (402) 955-5400 (402) 778-6900 (402) 289-4031 Provider ID #: 4368568 Provider ID #: 9225841 Provider ID #: 4752980 Primary Office #: 4368568 Provider ID #: 9911424 Primary Office #: 9225841 Primary Office #: 4752980 Farias-Eisner, Robin F., MD Primary Office #: 9911424 Garvin, Mary Maureen, PA-C Empson, Danielle, MD Obstetrics & Gynecology Fowler, Rita L., PA-C Physician Assistant Pediatrics 7710 Mercy Road Physician Assistant 18018 Burke Street 14043 Brookhouse Road Suite 1000 13340 California Street Elkhorn, NE 68022 Boys Town, NE 68010 Omaha, NE 68124 Suite 201 (402) 573-7337 (531) 355-7300 (402) 717-3010 Omaha, NE 68154 (402) 614-1999 Provider ID #: 4343752 Provider ID #: 4752980 Provider ID #: 9522584 Primary Office #: 4343752 Primary Office #: 4752980 Primary Office #: 9522584 Gary, Dawn M., MD Empson, Danielle, MD Fast, Christina M., PA-C Pediatrics Pediatrics Physician Assistant 9202 West Dodge Road 14080 Boys Town Hospital Road 8200 Dodge Street Suite 101 Boys Town, NE 68010 Omaha, NE 68114 Omaha, NE 68114 (402) 778-6900 (402) 955-3871 (402) 955-7500

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 9859176 Provider ID #: 9514093 Provider ID #: 6062737 Provider ID #: 4941729 Primary Office #: 9859176 Primary Office #: 9514093 Primary Office #: 6062737 Primary Office #: 4941729 Gass, Janeen M., PA-C Grace, Helen F., DO Griffith, Reina, APRN Gums, Jeremiah J., MD Physician Assistant Pediatrics Nurse Practitioner Internal Medicine 16101 Evans Street 987400 Nebraska Medical Center 4910 South 30 Street 7205 West Center Road Omaha, NE 68116 Omaha, NE 68198 Omaha, NE 68107 Suite 103 (402) 717-9700 (402) 552-2000 (402) 734-4110 Omaha, NE 68124 (402) 392-7676 Provider ID #: 9184562 Provider ID #: 9514093 Provider ID #: 6062737 Primary Office #: 9184562 Primary Office #: 9514093 Primary Office #: 6062737 Provider ID #: 4941729 Gilfillan, Angela M., APRN Grace, Helen F., DO Griffith, Reina, APRN Primary Office #: 4941729 Nurse Practitioner Pediatrics Nurse Practitioner Gums, Jeremiah J., MD 8248 South 96th Street 8200 Dodge Street 4930 South 30 Street Internal Medicine La Vista, NE 68128 Omaha, NE 68114 Omaha, NE 68107 14080 Boys Town Hospital Road (402) 717-9500 (402) 955-6140 (402) 734-4110 Boys Town, NE 68010 (402) 778-6900 Provider ID #: 7343199 Provider ID #: 9514093 Provider ID #: 6062737 Primary Office #: 7343199 Primary Office #: 9514093 Primary Office #: 6062737 Provider ID #: 9140101 Gilroy, Stacie A., PA-C Grace, Helen F., DO Griffith, Reina, APRN Primary Office #: 9140101 Physician Assistant Pediatrics Nurse Practitioner Gupta, Kirti, MD 249 Olson Drive Emile at 42nd Street 4229 North 90 Street Pediatrics Suite 111 Omaha, NE 68198 Omaha, NE 68134 Internal Medicine Papillion, NE 68046 (402) 955-8125 (402) 401-6000 8141 West Center Road (402) 991-2200 Suite 200 Provider ID #: 9515355 Provider ID #: 6062737 Omaha, NE 68124 Provider ID #: 9649817 Primary Office #: 9515355 Primary Office #: 6062737 (402) 717-3000 Primary Office #: 9649817 Grace, So Yun Park, MD Griffith, Reina, APRN Glowacki, Christopher M., MD Family Practice Nurse Practitioner Provider ID #: 7758271 Obstetrics & Gynecology 2734 North 61st Street 2520 South 130 Avenue Primary Office #: 7758271 4920 South 30th Street Omaha, NE 68104 Omaha, NE 68144 Hammer, Jeffrey, PA-C Suite 103 (402) 553-0222 (402) 769-7077 Physician Assistant Omaha, NE 68107 2429 Main Street (402) 734-4110 Provider ID #: 7803833 Provider ID #: 6062737 Omaha, NE 68107 Primary Office #: 7803833 Primary Office #: 6062737 (402) 731-7333 Provider ID #: 5526867 Grahn, Kirstin F., MD Griffith, Reina, APRN Primary Office #: 5526867 Pediatrics Nurse Practitioner Provider ID #: 6172462 Godsil, Shannon, MD 4224 South 50th Street 4920 South 30 Street Primary Office #: 6172462 Pediatrics Omaha, NE 68117 Suite 103 Hanigan, Emily A., PA-C 110 North 175th Street (402) 955-7474 Omaha, NE 68107 Physician Assistant Suite 1000 (402) 734-4110 7205 West Center Road Omaha, NE 68118 Provider ID #: 5738774 Suite 200 (402) 955-8300 Primary Office #: 5738774 Provider ID #: 9407253 Omaha, NE 68124 Grauman, Sarah A., MD Primary Office #: 9407253 (402) 397-6600 Provider ID #: 6565479 Family Practice Grosse, Jessica E., PA-C Primary Office #: 6565479 16101 Evans Street Physician Assistant Provider ID #: 5404959 Golden, B., MD Omaha, NE 68116 111 South 90th Street Primary Office #: 5404959 Internal Medicine (402) 717-9700 Omaha, NE 68114 Harris Mayle, Briana Sierra, APRN 5002 Underwood Avenue (402) 397-9800 Nurse Practitioner Omaha, NE 68132 Provider ID #: 9643818 2520 South 130 Avenue (402) 717-0785 Primary Office #: 9643818 Provider ID #: 9407253 Omaha, NE 68144 Gray, Roni S., APRN Primary Office #: 9407253 (402) 769-7077 Provider ID #: 5559549 Nurse Practitioner Grosse, Jessica E., PA-C Primary Office #: 5559549 4220 L Street Physician Assistant Provider ID #: 5404959 Gonzales, David A., MD Omaha, NE 68107 304 North 179th Street Primary Office #: 5404959 Internal Medicine (402) 733-4433 Suite 206 Harris Mayle, Briana Sierra, APRN 7710 Mercy Road Omaha, NE 68118 Nurse Practitioner Suite 3000 Provider ID #: 7442622 (402) 397-9800 4930 South 30th Street Omaha, NE 68124 Primary Office #: 7442622 Omaha, NE 68107 (402) 717-0800 Gray, Staci A., PA-C Provider ID #: 4941729 (402) 734-4110 Physician Assistant Primary Office #: 4941729 6715 South 180th Street Gums, Jeremiah J., MD Omaha, NE 68135 Internal Medicine (402) 996-2300 16929 Frances Street Suite 101 Omaha, NE 68130 (402) 758-5125

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 4666543 Provider ID #: 7652323 Provider ID #: 4826385 Provider ID #: 7683722 Primary Office #: 4666543 Primary Office #: 7652323 Primary Office #: 4826385 Primary Office #: 7683722 Harrison, Francis J., MD Hennessy, Therese A., MD Hill, Michelle L., PA-C Horner, Katherine, PA-C Pediatrics Family Practice Physician Assistant Physician Assistant 9801 Giles Road 4920 South 30th Street 4101 South 120th Street 17030 Lakeside Hills Plaza Suite 1 Suite 103 Omaha, NE 68137 Suite 102 La Vista, NE 68128 Omaha, NE 68107 (402) 505-3907 Omaha, NE 68130 (402) 955-8400 (402) 734-4110 (402) 758-5800 Provider ID #: 4826385 Provider ID #: 4843626 Provider ID #: 7652323 Primary Office #: 4826385 Provider ID #: 7352582 Primary Office #: 4843626 Primary Office #: 7652323 Hill, Michelle L., PA-C Primary Office #: 7352582 Havens, Lauren, NP Hennessy, Therese A., MD Physician Assistant Horton-Brown, Nichelle R., MD Nurse Practitioner Family Practice 2520 South 130 Avenue Pediatrics 13315 West Center Road 4930 South 30th Street Omaha, NE 68144 Internal Medicine Suite 100 Omaha, NE 68107 (402) 769-7077 3015 North 90th Street Omaha, NE 68144 (402) 734-4110 Suite 1 (402) 717-9476 Provider ID #: 4826385 Omaha, NE 68134 Provider ID #: 7349212 Primary Office #: 4826385 (402) 453-6869 Provider ID #: 4843626 Primary Office #: 7349212 Hill, Michelle L., PA-C Primary Office #: 4843626 Herman, Andrea M., MD Physician Assistant Provider ID #: 5995121 Havens, Lauren, NP Family Practice 4930 South 30th Street Primary Office #: 5995121 Nurse Practitioner 4220 L Street Omaha, NE 68107 Houghton, Bruce L., MD 16101 Evans Street Omaha, NE 68107 (402) 734-4110 Internal Medicine Omaha, NE 68116 (402) 733-4433 7500 Mercy Road (402) 717-9797 Provider ID #: 4321756 Omaha, NE 68124 Provider ID #: 5221749 Primary Office #: 4321756 (855) 524-4001 Provider ID #: 4843626 Primary Office #: 5221749 Hill-Bowman, Emily K., MD Primary Office #: 4843626 Herrman, Vicki A., MD Internal Medicine Provider ID #: 7188685 Havens, Lauren, NP Pediatrics 7205 West Center Road Primary Office #: 7188685 Nurse Practitioner 7205 West Center Road Suite 103 Houng, McCann, MD 8248 South 96 Street Suite 104 Omaha, NE 68124 Family Practice Suite 100 Omaha, NE 68124 (402) 392-7676 16101 Evans Street La Vista, NE 68128 (402) 392-7684 Omaha, NE 68116 (402) 717-9580 Provider ID #: 9247168 (402) 717-9700 Provider ID #: 4699514 Primary Office #: 9247168 Provider ID #: 4843626 Primary Office #: 4699514 Hoarty, Carrie A., MD Provider ID #: 5799921 Primary Office #: 4843626 Highley, Adam D., MD Internal Medicine Primary Office #: 5799921 Havens, Lauren, NP General Practice 7205 West Center Road Hovey, Carrie L., APRN Nurse Practitioner Internal Medicine Suite 104 Nurse Practitioner 4220 L Street 7710 Mercy Road Omaha, NE 68124 4920 South 30th Street Omaha, NE 68107 Suite 3000 (402) 392-7684 Suite 103 (402) 717-7050 Omaha, NE 68124 Omaha, NE 68107 (402) 717-9600 Provider ID #: 9247168 (402) 734-4110 Provider ID #: 4134681 Primary Office #: 9247168 Primary Office #: 4134681 Provider ID #: 9063849 Hoarty, Carrie A., MD Provider ID #: 4981735 Head, George Gilbert, MD Primary Office #: 9063849 Internal Medicine Primary Office #: 4981735 Family Practice Hilger, Monica A., PA-C 14080 Boys Town Hospital Road Howe, Jeremy M., MD 17241 Oak Drive Physician Assistant Boys Town, NE 68010 Family Practice Suite 101 14421 Dupont Court (402) 393-7172 4229 North 90th Street Omaha, NE 68130 Omaha, NE 68144 Omaha, NE 68134 (402) 896-1242 (402) 884-6400 Provider ID #: 4204308 (402) 401-6000 Primary Office #: 4204308 Provider ID #: 9708383 Provider ID #: 4826385 Childrens Specialty Physician Provider ID #: 4981735 Primary Office #: 9708383 Primary Office #: 4826385 Hollins, Susan C., MD Primary Office #: 4981735 Heavican, Lucinda J., APRN Hill, Michelle L., PA-C Pediatrics Howe, Jeremy M., MD Nurse Practitioner Physician Assistant 987400 Nebraska Medical Center Family Practice 16101 Evans Street 4920 South 30th Street Omaha, NE 68198 4920 South 30th Street Omaha, NE 68116 Suite 103 (402) 955-2000 Suite 103 (402) 717-9797 Omaha, NE 68107 Omaha, NE 68107 (402) 734-4110 Provider ID #: 9379712 (402) 734-4110 Primary Office #: 9379712 Holmquist, Brent P., MD Family Practice 10109 Maple Street Omaha, NE 68134 (402) 572-3500

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 4981735 Provider ID #: 7156627 Provider ID #: 4867033 Provider ID #: 7311622 Primary Office #: 4981735 Primary Office #: 7156627 Primary Office #: 4867033 Primary Office #: 7311622 Howe, Jeremy M., MD Hurd, Sarah M., MD Infante Magana, Mitzi T., PA-C Jorgensen, Leah S., APRN Family Practice Family Practice Physician Assistant Nurse Practitioner 4101 South 120th Street 11109 South 84th Street 4930 South 30th Street 4910 South 30th Street Omaha, NE 68137 Suite 5800 Omaha, NE 68107 Omaha, NE 68107 (402) 505-3907 Papillion, NE 68046 (402) 734-4110 (402) 734-4110 (402) 827-4900 Provider ID #: 4981735 Provider ID #: 4946452 Provider ID #: 7030548 Primary Office #: 4981735 Provider ID #: 5672813 Primary Office #: 4946452 Primary Office #: 7030548 Howe, Jeremy M., MD Primary Office #: 5672813 Ingemansen, Margaret L., MD Kakish, Eyad F., MD Family Practice Hurlbut, Cristina, MD Family Practice Family Practice 4930 South 30th Street Family Practice 16909 Lakeside Hills Court 14440 F Street Omaha, NE 68107 4920 South 30th Street Suite 300 Suite 121 (402) 734-4110 Suite 103 Omaha, NE 68130 Omaha, NE 68137 Omaha, NE 68107 (402) 758-5400 (402) 933-4450 Provider ID #: 4981735 (402) 734-4110 Primary Office #: 4981735 Provider ID #: 7966449 Provider ID #: 5031924 Howe, Jeremy M., MD Provider ID #: 5857021 Primary Office #: 7966449 Primary Office #: 5031924 Family Practice Primary Office #: 5857021 Janssen, Misty A., MD Kalil, Megan, ACRNP 4910 South 30th Street Hutfless, George Stanley, MD Family Practice Nurse Practitioner Omaha, NE 68107 Internal Medicine 10109 Maple Street 18018 Burke Street (402) 734-4110 3440 South 50th Street Omaha, NE 68134 Elkhorn, NE 68022 Omaha, NE 68106 (402) 572-3500 (402) 573-7337 Provider ID #: 7906608 (402) 556-3000 Primary Office #: 7906608 Provider ID #: 6216197 Provider ID #: 7101001 Hubbert, Thomas, PA-C Provider ID #: 7506262 Primary Office #: 6216197 Primary Office #: 7101001 Physician Assistant Primary Office #: 7506262 Jeffrey, Lynn A., DO Kaufman, David George John, MD 14040 Boys Town Hospital Road Imig, Carmella, MD Family Practice Pediatrics Boys Town, NE 68010 Family Practice 16909 Lakeside Hills Court 13808 West Maple Road (402) 778-6800 102 West Gruenther Road Suite 300 Suite 100 Gretna, NE 68028 Omaha, NE 68130 Omaha, NE 68164 Provider ID #: 4741814 (402) 332-2772 (402) 758-5400 (402) 955-3000 Primary Office #: 4741814 Huber, Mark W., APRN Provider ID #: 4867033 Provider ID #: 9842948 Provider ID #: 6742445 Nurse Practitioner Primary Office #: 4867033 Primary Office #: 9842948 Primary Office #: 6742445 4920 South 30th Street Infante Magana, Mitzi T., PA-C Johnson, Heidi Michelle, MD Kaufman, Jasper, APRN Suite 103 Physician Assistant Pediatrics Nurse Practitioner Omaha, NE 68107 4229 North 90th Street 6715 South 180th Street 8141 West Center Road (402) 734-4110 Omaha, NE 68134 Omaha, NE 68135 Suite 200 (402) 502-8919 (402) 996-2300 Omaha, NE 68124 Provider ID #: 4741814 (402) 717-3000 Primary Office #: 4741814 Provider ID #: 4867033 Provider ID #: 4849037 Huber, Mark W., APRN Primary Office #: 4867033 Primary Office #: 4849037 Provider ID #: 6643304 Nurse Practitioner Infante Magana, Mitzi T., PA-C Childrens Specialty Physician Primary Office #: 6643304 4930 South 30th Street Physician Assistant Johnson, Rachel, MD Kaup, Deanna Margaret, APRN Omaha, NE 68107 4920 South 30th Street Pediatrics Nurse Practitioner (402) 734-4110 Suite 103 987400 Nebraska Medical Center 5370 South 84th Street Omaha, NE 68107 Omaha, NE 68198 Suite A Provider ID #: 4741814 (402) 734-4110 (402) 955-2000 Omaha, NE 68127 Primary Office #: 4741814 (402) 619-0621 Huber, Mark W., APRN Provider ID #: 4867033 Provider ID #: 7311622 Nurse Practitioner Primary Office #: 4867033 Primary Office #: 7311622 Provider ID #: 5400053 4910 South 30th Street Infante Magana, Mitzi T., PA-C Jorgensen, Leah S., APRN Primary Office #: 5400053 Omaha, NE 68107 Physician Assistant Nurse Practitioner Keller, David M., Jr, MD (402) 734-4110 4101 South 120th Street 4920 South 30th Street Family Practice Omaha, NE 68137 Suite 103 17030 Lakeside Hills Drive Provider ID #: 6090767 (402) 505-3907 Omaha, NE 68107 Suite 102 Primary Office #: 6090767 (402) 734-4110 Omaha, NE 68130 Huerter, Kathryn, APRN Provider ID #: 4867033 (402) 758-5800 Nurse Practitioner Primary Office #: 4867033 7710 Mercy Road Infante Magana, Mitzi T., PA-C Suite 2000 Physician Assistant Omaha, NE 68124 2520 South 130 Avenue (402) 717-0820 Omaha, NE 68144 (402) 769-7077

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 6994515 Provider ID #: 4134697 Provider ID #: 6637822 Provider ID #: 6297454 Primary Office #: 6994515 Primary Office #: 4134697 Primary Office #: 6637822 Primary Office #: 6297454 Kelly, Monica M., MD Kobayashi, Ai Lan Doan, MD Kropp, Chelsea N., MD Langford-Karre, Jacque, APRN Pediatrics Pediatrics Obstetrics & Gynecology Nurse Practitioner 14080 Boys Town Hospital Road 401 East Gold Coast Road 515 North 162 Avenue 17520 Wright Street Boys Town, NE 68010 Suite 325 Suite 102 Suite 105 (531) 355-6900 Papillion, NE 68046 Omaha, NE 68118 Omaha, NE 68130 (402) 592-1700 (402) 397-6600 (402) 991-5353 Provider ID #: 9702064 Primary Office #: 9702064 Provider ID #: 6300829 Provider ID #: 4170499 Provider ID #: 5567800 Kenkel, Amy J., MSN Primary Office #: 6300829 Primary Office #: 4170499 Primary Office #: 5567800 Nurse Practitioner Konrad, Angela, APRN Kuhl, Cassandra L., APRN Lanik, Abigail L., PA-C 8200 Dodge Street Nurse Practitioner Nurse Practitioner Physician Assistant Omaha, NE 68114 16101 Evans Street 13315 West Center Road 17030 Lakeside Hills Drive (402) 955-4360 Omaha, NE 68116 Suite 100 Suite 102 (402) 717-9700 Omaha, NE 68144 Omaha, NE 68130 Provider ID #: 7639164 (402) 717-9400 (402) 758-5800 Primary Office #: 7639164 Provider ID #: 6300829 Kershner, David E., PA-C Primary Office #: 6300829 Provider ID #: 4602949 Provider ID #: 5271552 Physician Assistant Konrad, Angela, APRN Primary Office #: 4602949 Primary Office #: 5271552 2429 M Street Nurse Practitioner Lacroix, Amy E., MD Larson, Elizabeth A., MD Omaha, NE 68107 4220 L Street Pediatrics Pediatrics (402) 731-7333 Omaha, NE 68107 987400 Nebraska Medical Center 18018 Burke Street (402) 717-7050 Omaha, NE 68198 Elkhorn, NE 68022 Provider ID #: 9975063 (402) 559-6221 (402) 573-7337 Primary Office #: 9975063 Provider ID #: 7017981 Kester, Amanda L., MD Primary Office #: 7017981 Provider ID #: 4602949 Provider ID #: 7473386 Family Practice Krejci, Maggie Q., PA-C Primary Office #: 4602949 Primary Office #: 7473386 17520 Wright Street Physician Assistant Lacroix, Amy E., MD Law, Angela N., MD Suite 105 8200 Dodge Street Pediatrics Family Practice Omaha, NE 68130 Omaha, NE 68114 4920 South 30th Street 17520 Wright Street (402) 991-5353 (402) 955-4005 Suite 103 Suite 105 Omaha, NE 68107 Omaha, NE 68130 Provider ID #: 5707739 Provider ID #: 7267165 (402) 734-4110 (402) 991-5353 Primary Office #: 5707739 Primary Office #: 7267165 Klahn, Julie K., APRN Krenzer, Kari Ann, MD Provider ID #: 4602949 Provider ID #: 6612976 Nurse Practitioner Pediatrics Primary Office #: 4602949 Primary Office #: 6612976 4920 South 30th Street 110 North 175th Street Lacroix, Amy E., MD Lawandy, Dalia, MD Suite 103 Suite 1000 Pediatrics Family Practice Omaha, NE 68107 Omaha, NE 68118 Emile @ 42nd Street 8248 South 96 Street (402) 734-4110 (402) 955-5437 Omaha, NE 68198 Suite 100 (402) 559-4208 La vista, NE 68128 Provider ID #: 4678936 Provider ID #: 4003809 (402) 717-9580 Primary Office #: 4678936 Primary Office #: 4003809 Provider ID #: 4602949 Klein, Sarah B., ANP Kronberg, Kent Wendell, MD Primary Office #: 4602949 Provider ID #: 6612976 Nurse Practitioner Pediatrics Lacroix, Amy E., MD Primary Office #: 6612976 1000 North 90th Street 13808 West Maple Road Pediatrics Lawandy, Dalia, MD Suite 200 Suite 100 Emile At 42nd St Family Practice Omaha, NE 68114 Omaha, NE 68164 Omaha, NE 68198 5005 South 153rd Street (402) 955-3900 (402) 955-3000 (402) 955-8125 Suite 100 Omaha, NE 68137 Provider ID #: 4678936 Provider ID #: 6637822 Provider ID #: 4602949 (402) 717-9100 Primary Office #: 4678936 Primary Office #: 6637822 Primary Office #: 4602949 Klein, Sarah B., ANP Kropp, Chelsea N., MD Lacroix, Amy E., MD Provider ID #: 6612976 Nurse Practitioner Obstetrics & Gynecology Pediatrics Primary Office #: 6612976 4802 Shannon Drive 7205 West Center Road 2520 South 130 Avenue Lawandy, Dalia, MD Bellevue, NE 68133 Suite 200 Omaha, NE 68144 Family Practice (402) 955-7600 Omaha, NE 68124 (402) 769-7077 13315 West Center Road (402) 397-6600 Suite 100 Omaha, NE 68144 (402) 717-9476

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 6612976 Provider ID #: 9671089 Provider ID #: 6089376 Provider ID #: 9098683 Primary Office #: 6612976 Primary Office #: 9671089 Primary Office #: 6089376 Primary Office #: 9098683 Lawandy, Dalia, MD Levy, Bethany Jean, PA-C Loewens, Laura A., APRN Manasek, Joseph G., PA-C Family Practice Physician Assistant Nurse Practitioner Physician Assistant 16101 Evans Sreet 4920 South 30th Street 4229 North 90 Street 7710 Mercy Road Omaha, NE 68116 Suite 103 Omaha, NE 68134 Suite 3000 (402) 717-9797 Omaha, NE 68107 (402) 401-6000 Omaha, NE 68124 (402) 734-4110 (402) 717-9600 Provider ID #: 6612976 Provider ID #: 7314706 Primary Office #: 6612976 Provider ID #: 9850923 Primary Office #: 7314706 Provider ID #: 9098683 Lawandy, Dalia, MD Primary Office #: 9850923 Loucks, Erin A., MD Primary Office #: 9098683 Family Practice Levy, David P., MD Pediatrics Manasek, Joseph G., PA-C 4220 L street Pediatrics 4825 Dodge Street Physician Assistant Omaha, NE 68107 4920 South 30th Street Omaha, NE 68132 16909 Lakeside Hills Court (402) 717-7050 Suite 103 (402) 955-7676 Suite 300 Omaha, NE 68107 Omaha, NE 68130 Provider ID #: 5648816 (402) 734-4110 Provider ID #: 4605496 (402) 717-9600 Primary Office #: 5648816 Primary Office #: 4605496 Lee, Jenna Laine Akemi, PA-C Provider ID #: 9850923 Madden, Kristin D., NP Provider ID #: 7426605 Physician Assistant Primary Office #: 9850923 Nurse Practitioner Primary Office #: 7426605 8720 Frederick Street Levy, David P., MD 8200 Dodge Street Manhart, M., MD Suite 100 Pediatrics Omaha, NE 68114 Internal Medicine Omaha, NE 68124 4930 South 30th Street (402) 955-5700 5002 Underwood Avenue (402) 397-0700 Omaha, NE 68107 Omaha, NE 68132 (402) 734-4110 Provider ID #: 4605496 (402) 717-0785 Provider ID #: 4724669 Primary Office #: 4605496 Primary Office #: 4724669 Provider ID #: 9850923 Madden, Kristin D., NP Provider ID #: 7105196 Lehn, Elizabeth Rose, MD Primary Office #: 9850923 Nurse Practitioner Primary Office #: 7105196 Pediatrics Levy, David P., MD Emile @ 42nd Street Mantler, Edward M., MD 4920 South 30th Street Pediatrics Omaha, NE 68198 Family Practice Suite 103 4910 South 30th Street (402) 559-4208 555 Fortune Drive Omaha, NE 68107 Omaha, NE 68107 Papillion, NE 68046 (402) 734-4110 (402) 734-4110 Provider ID #: 4605496 (402) 502-3600 Primary Office #: 4605496 Provider ID #: 4724669 Provider ID #: 6467073 Madden, Kristin D., NP Provider ID #: 5000914 Primary Office #: 4724669 Primary Office #: 6467073 Nurse Practitioner Primary Office #: 5000914 Lehn, Elizabeth Rose, MD Childrens Specialty Physician Emile At 42nd St Marriott, Darla L., APRN Pediatrics Liermann, Kylie H., DO Omaha, NE 68198 Nurse Practitioner 2520 South 130 Avenue Pediatrics (402) 559-6766 14440 F Street Omaha, NE 68144 987400 Nebraska Medical Center Suite 121 (402) 769-7077 Omaha, NE 68198 Provider ID #: 4609654 Omaha, NE 68137 (402) 955-2000 Primary Office #: 4609654 (402) 933-4450 Provider ID #: 4724669 Magruder, Thomas G., IV, MD Primary Office #: 4724669 Provider ID #: 6467073 Family Practice Provider ID #: 9430815 Lehn, Elizabeth Rose, MD Primary Office #: 6467073 8720 Frederick Street Primary Office #: 9430815 Pediatrics Liermann, Kylie H., DO Suite 100 Martin, Erica, MD 4930 South 30th Street Pediatrics Omaha, NE 68124 Pediatrics Omaha, NE 68107 Emile Street And South 42nd Street (402) 397-0700 14080 Boys Town Hospital Road (402) 734-4110 Omaha, NE 68198 Boys Town, NE 68010 (402) 955-8125 Provider ID #: 4227254 (402) 778-6900 Provider ID #: 9138810 Primary Office #: 4227254 Primary Office #: 9138810 Provider ID #: 9509055 Malene, Dawn, MD Provider ID #: 9607913 Leonard, Daniel J., MD Primary Office #: 9509055 Family Practice Primary Office #: 9607913 Pediatrics Liu, Yongge, MD 5005 South 153rd Street Martin, Tanya Rae, PA-C 110 North 175th Street Family Practice Suite 100 Physician Assistant Suite 1000 8141 West Center Road Omaha, NE 68137 3121 U Street Omaha, NE 68118 Suite 200 (402) 717-9100 Omaha, NE 68107 (402) 955-8300 Omaha, NE 68124 (402) 933-4968 (402) 717-3000 Provider ID #: 9098683 Primary Office #: 9098683 Provider ID #: 9607913 Manasek, Joseph G., PA-C Primary Office #: 9607913 Physician Assistant Martin, Tanya Rae, PA-C 11109 South 84 Street Physician Assistant Suite 1820 4930 South 30th Street Papillion, NE 68046 Omaha, NE 68107 (402) 717-9600 (402) 734-4110

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 6150876 Provider ID #: 9870640 Provider ID #: 4545251 Provider ID #: 4110921 Primary Office #: 6150876 Primary Office #: 9870640 Primary Office #: 4545251 Primary Office #: 4110921 Mauer, Lilli, MD McCutchen, Kristina M., PA-C McVea, Kristine L S P, MD Mikuls, Mary Fitzgibbons, MD Internal Medicine Physician Assistant Pediatrics Pediatrics 7205 West Center Road 1111 North 102 Court Internal Medicine 110 North 175th Street Suite 103 Suite 200 4910 South 30th Street Suite 1000 Omaha, NE 68124 Omaha, NE 68114 Omaha, NE 68107 Omaha, NE 68118 (402) 392-7600 (402) 991-6559 (402) 734-4110 (402) 955-5437

Provider ID #: 6150876 Provider ID #: 9870640 Provider ID #: 7779201 Provider ID #: 7791859 Primary Office #: 6150876 Primary Office #: 9870640 Primary Office #: 7779201 Primary Office #: 7791859 Mauer, Lilli, MD McCutchen, Kristina M., PA-C Meier, Craig M., MD Miller, Karen M., MD Internal Medicine Physician Assistant Family Practice Family Practice 14080 Boys Town Hospital Road 13340 California Street 17030 Lakeside Hills Plaza 10109 Maple Street Boys Town, NE 68010 Suite 201 Suite 102 Omaha, NE 68134 (402) 392-7600 Omaha, NE 68154 Omaha, NE 68130 (402) 572-3500 (402) 614-1999 (402) 758-5800 Provider ID #: 4996025 Provider ID #: 9010129 Primary Office #: 4996025 Provider ID #: 5036679 Provider ID #: 5674215 Primary Office #: 9010129 Mayorquin, Jose A., MD Primary Office #: 5036679 Primary Office #: 5674215 Miller, Sarah E., APRN Family Practice McGill, Lorrie L., MD Meissner, Paul H., MD Nurse Practitioner 13315 West Center Road Family Practice Family Practice 2520 South 130 Avenue Suite 100 1502 South Washington Street 8720 Frederick Street Omaha, NE 68144 Omaha, NE 68144 Suite 201 Suite 100 (402) 769-7077 (402) 717-9476 Papillion, NE 68046 Omaha, NE 68124 (402) 505-9657 (402) 397-0700 Provider ID #: 9010129 Provider ID #: 4996025 Primary Office #: 9010129 Primary Office #: 4996025 Provider ID #: 7817968 Provider ID #: 7861939 Miller, Sarah E., APRN Mayorquin, Jose A., MD Primary Office #: 7817968 Primary Office #: 7861939 Nurse Practitioner Family Practice McGregor, Kristin Marie, MD Menning, Melanie S., MD 4930 South 30th Street 16101 Evans Street Pediatrics Family Practice Omaha, NE 68107 Omaha, NE 68116 11856 Standing Stone Drive 4920 South 30th Street (402) 734-4110 (402) 717-9747 Gretna, NE 68028 Suite 103 (402) 955-6630 Omaha, NE 68107 Provider ID #: 7023479 Provider ID #: 4996025 (402) 734-4110 Primary Office #: 7023479 Primary Office #: 4996025 Provider ID #: 9730178 Moffatt, Kody, MD Mayorquin, Jose A., MD Primary Office #: 9730178 Provider ID #: 7861939 Pediatrics Family Practice McNally, Clancy E., MD Primary Office #: 7861939 8200 Dodge Street 8248 South 96 Street Pediatrics Menning, Melanie S., MD Omaha, NE 68114 Suite 100 4802 Shannon Drive Family Practice (402) 955-6300 La Vista, NE 68128 Bellevue, NE 68133 4930 South 30th Street (402) 717-9580 (402) 955-7600 Omaha, NE 68107 Provider ID #: 9428433 (402) 734-4110 Primary Office #: 9428433 Provider ID #: 4996025 Provider ID #: 4545251 Mogenson, Michelle T., DO Primary Office #: 4996025 Primary Office #: 4545251 Provider ID #: 7861939 Pediatrics Mayorquin, Jose A., MD McVea, Kristine L S P, MD Primary Office #: 7861939 4224 South 50th Street Family Practice Pediatrics Menning, Melanie S., MD Omaha, NE 68117 4220 L Street Internal Medicine Family Practice (402) 955-7474 Omaha, NE 68107 4920 South 30th Street 4910 South 30th Street (402) 733-4433 Suite 103 Omaha, NE 68107 Provider ID #: 4115054 Omaha, NE 68107 (402) 734-4110 Primary Office #: 4115054 Provider ID #: 7709643 (402) 734-4110 Montanez, Edward P., MD Primary Office #: 7709643 Provider ID #: 9252721 Family Practice McCann, Rachel L., MD Provider ID #: 4545251 Primary Office #: 9252721 1908 North 203rd Street Pediatrics Primary Office #: 4545251 Meyer, Wesley Alvin, MD Suite 2 9801 Giles Road McVea, Kristine L S P, MD Pediatrics Elkhorn, NE 68022 Suite 1 Pediatrics 4920 South 30th Street (402) 289-4031 La Vista, NE 68128 Internal Medicine Suite 103 (402) 955-8400 2520 South 130 Avenue Omaha, NE 68107 Provider ID #: 9909653 Omaha, NE 68144 (402) 734-4110 Primary Office #: 9909653 (402) 769-7077 Moore, Douglas R., MD Internal Medicine 7500 Mercy Road Omaha, NE 68124 (402) 449-4486

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 9909653 Provider ID #: 5691378 Provider ID #: 4604256 Provider ID #: 6843747 Primary Office #: 9909653 Primary Office #: 5691378 Primary Office #: 4604256 Primary Office #: 6843747 Moore, Douglas R., MD Moseman, Lynette A., MD Nasir, Arwa K., MD Nguyen, Christina, MD Internal Medicine Family Practice Pediatrics Family Practice 11109 South 84th Street 13315 West Center Road Emile Street And South 42nd Street 4220 L Street Suite 1820 Suite 100 Omaha, NE 68198 Omaha, NE 68107 Papillion, NE 68046 Omaha, NE 68144 (402) 955-8125 (402) 733-4433 (402) 717-9600 (402) 717-9400 Provider ID #: 6270844 Provider ID #: 4908866 Provider ID #: 9909653 Provider ID #: 7973521 Primary Office #: 6270844 Primary Office #: 4908866 Primary Office #: 9909653 Primary Office #: 7973521 Navaneethan, Hema L., MD Niebur, Hana B., MD Moore, Douglas R., MD Muhs, Melissa L., PA-C Pediatrics Pediatrics Internal Medicine Physician Assistant 987400 Nebraska Medical Center 8200 Dodge Street 7710 Mercy Road 8248 South 96th Street Omaha, NE 68198 Omaha, NE 68114 Suite 3000 La Vista, NE 68128 (402) 552-2000 (402) 955-5570 Omaha, NE 68124 (402) 717-9500 (402) 717-9600 Provider ID #: 6270844 Provider ID #: 4908866 Provider ID #: 6981918 Primary Office #: 6270844 Primary Office #: 4908866 Provider ID #: 9909653 Primary Office #: 6981918 Childrens Specialty Physician Niebur, Hana B., MD Primary Office #: 9909653 Nabower, Aleisha M., MD Navaneethan, Hema L., MD Pediatrics Moore, Douglas R., MD Pediatrics Pediatrics 17809 Pierce Plaza Internal Medicine 4825 Dodge Street 987400 Nebraska Medical Center Omaha, NE 68130 7710 Mercy Road Omaha, NE 68132 Omaha, NE 68198 (402) 955-5570 Suite 326 (402) 955-7650 (402) 955-2000 Omaha, NE 68124 Provider ID #: 4255237 (402) 717-9600 Provider ID #: 6981918 Provider ID #: 6270844 Primary Office #: 4255237 Primary Office #: 6981918 Primary Office #: 6270844 Nielsen, Laura D., MD Provider ID #: 4003860 Nabower, Aleisha M., MD Navaneethan, Hema L., MD Pediatrics Primary Office #: 4003860 Pediatrics Pediatrics 8200 Dodge Street Moore, John Cory, MD 9801 Giles Road 8200 Dodge Street Omaha, NE 68114 Pediatrics Suite 1 Omaha, NE 68114 (402) 955-6100 110 North 175th Street La Vista, NE 68128 (402) 955-5428 Suite 1000 (402) 955-7200 Provider ID #: 4255237 Omaha, NE 68118 Provider ID #: 7282572 Primary Office #: 4255237 (402) 955-5437 Provider ID #: 6981918 Primary Office #: 7282572 Nielsen, Laura D., MD Primary Office #: 6981918 Nazmul, Mohammed N., MD Pediatrics Provider ID #: 5238347 Nabower, Aleisha M., MD Internal Medicine 110 North 175th Street Primary Office #: 5238347 Pediatrics 7710 Mercy Road Suite 1000 Moore, Michael J., MD 110 North 175th Street Suite 3000 Omaha, NE 68118 Pediatrics Suite 1000 Omaha, NE 68124 (402) 955-5437 4825 Dodge Street Omaha, NE 68118 (402) 343-8650 Omaha, NE 68132 (402) 955-8300 Provider ID #: 9293141 (402) 955-7676 Provider ID #: 9337663 Primary Office #: 9293141 Provider ID #: 5294710 Primary Office #: 9337663 Niemi, Stacy, APRN Provider ID #: 5238347 Primary Office #: 5294710 Childrens Specialty Physician Nurse Practitioner Primary Office #: 5238347 Naegele, Robert G., MD Neemann, Kari A., MD 17030 Lakeside Hills Plaza Moore, Michael J., MD Family Practice Pediatrics Suite 102 Pediatrics 555 Fortune Drive 987400 Nebraska Medical Center Omaha, NE 68130 987400 Nebraska Medical Center Papillion, NE 68046 Omaha, NE 68198 (402) 758-5800 Omaha, NE 68198 (402) 502-3600 (402) 955-2000 (402) 552-2000 Provider ID #: 9003408 Provider ID #: 4604256 Provider ID #: 9337663 Primary Office #: 9003408 Provider ID #: 7974808 Primary Office #: 4604256 Primary Office #: 9337663 Nixon, Aj, MD Primary Office #: 7974808 Childrens Specialty Physician Neemann, Kari A., MD Family Practice Morgan, Heather M., MD Nasir, Arwa K., MD Pediatrics 16909 Lakeside Hills Court Family Practice Pediatrics 8200 Dodge Street Suite 300 16909 Lakeside Hills Court 987400 Nebraska Medical Center Omaha, NE 68114 Omaha, NE 68130 Suite 300 Omaha, NE 68198 (402) 955-4005 (402) 758-5400 Omaha, NE 68130 (402) 955-2000 (402) 758-5400 Provider ID #: 4736238 Provider ID #: 9749185 Primary Office #: 4736238 Primary Office #: 9749185 Nelson, Lauren E., MD Norfleet, Mitchell S., PA-C Internal Medicine Physician Assistant 14080 Boys Town Hospital Road 102 West Gruenther Road Boys Town, NE 68010 Gretna, NE 68028 (402) 778-6900 (402) 332-2772

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 6989612 Provider ID #: 4065903 Provider ID #: 5623506 Provider ID #: 4970012 Primary Office #: 6989612 Primary Office #: 4065903 Primary Office #: 5623506 Primary Office #: 4970012 Norton, Adam A., MD Osborn, Steven, MD Penny, Gregory T., MD Phelps, Jill Alison, APRN Pediatrics Family Practice Pediatrics Nurse Practitioner 987400 Nebraska Medical Center 5005 South 153rd Street 7205 West Center Road 4951 Center Street Omaha, NE 68198 Suite 100 Suite 104 Suite 200 (402) 522-2000 Omaha, NE 68137 Omaha, NE 68124 Omaha, NE 68106 (402) 717-9100 (402) 392-7684 (402) 558-2500 Provider ID #: 6989612 Primary Office #: 6989612 Provider ID #: 7483381 Provider ID #: 7327458 Provider ID #: 4605507 Childrens Specialty Physician Primary Office #: 7483381 Primary Office #: 7327458 Primary Office #: 4605507 Norton, Adam A., MD Pajnigar, Arman K., MD Penny, Katherine E., MD Pitner, Sheryl L., MD Pediatrics Internal Medicine Pediatrics Pediatrics 987400 Nebraska Medical Center 11109 South 84th Street 7205 West Center Road 4825 Dodge Street Omaha, NE 68198 Suite 1820 Suite 104 Omaha, NE 68132 (402) 955-2000 Papillion, NE 68046 Omaha, NE 68124 (402) 955-7676 (402) 827-1577 (402) 392-7684 Provider ID #: 4888973 Provider ID #: 4605507 Primary Office #: 4888973 Provider ID #: 7422501 Provider ID #: 4856675 Primary Office #: 4605507 O'Banion, Susann A., APRN Primary Office #: 7422501 Primary Office #: 4856675 Pitner, Sheryl L., MD Nurse Practitioner Paradis, Mara P., MD Peska, Patricia A., MSN Pediatrics 11111 South 84th Street Pediatrics Nurse Practitioner 9801 Giles Road Papillion, NE 68046 16929 Frances Street 4802 Shannon Drive Suite 1 (402) 593-3131 Omaha, NE 68130 Bellevue, NE 68133 La Vista, NE 68128 (402) 758-5125 (402) 955-7600 (402) 955-8400 Provider ID #: 9724976 Primary Office #: 9724976 Provider ID #: 7422501 Provider ID #: 9787303 Provider ID #: 7118399 O'Neil, Lindsay, APRN Primary Office #: 7422501 Primary Office #: 9787303 Primary Office #: 7118399 Nurse Practitioner Paradis, Mara P., MD Petersmith, Amanda L., APRN Prendes, , Jr, MD 16909 Lakeside Hills Court Pediatrics Nurse Practitioner Family Practice Suite 300 16929 Frances Street 6715 South 180th Street 5005 South 153rd Street Omaha, NE 68130 Suite 101 Omaha, NE 68135 Suite 100 (402) 717-9800 Omaha, NE 68130 (402) 996-2300 Omaha, NE 68137 (402) 758-5125 (402) 717-9100 Provider ID #: 7026286 Provider ID #: 9787303 Primary Office #: 7026286 Provider ID #: 4082050 Primary Office #: 9787303 Provider ID #: 5918960 Oberlies, Mark Edward, MD Primary Office #: 4082050 Petersmith, Amanda L., APRN Primary Office #: 5918960 Internal Medicine Parker, Garrett S., MD Nurse Practitioner Prusa Flores, Jessica E., MD 16909 Lakeside Hills Court Internal Medicine 7205 West Center Road Obstetrics & Gynecology Suite 111 8248 South 96th Street Suite 104 7205 West Center Road Omaha, NE 68130 La Vista, NE 68128 Omaha, NE 68124 Suite 200 (402) 810-9700 (402) 717-9500 (402) 392-7684 Omaha, NE 68124 (402) 397-6600 Provider ID #: 5629956 Provider ID #: 5099768 Provider ID #: 6888527 Primary Office #: 5629956 Primary Office #: 5099768 Primary Office #: 6888527 Provider ID #: 5918960 Oommen, Shibu V., MD Pavlish, Michelle M., APRN Peterson, Joshua R., ARNP Primary Office #: 5918960 Family Practice Nurse Practitioner Nurse Practitioner Prusa Flores, Jessica E., MD 10109 Maple Street 13315 West Center Road 16101 Evans Street Obstetrics & Gynecology Omaha, NE 68134 Suite 100 Omaha, NE 68116 515 North 162 Avenue (402) 572-3500 Omaha, NE 68144 (402) 717-9797 Suite 102 (402) 717-9400 Omaha, NE 68118 Provider ID #: 5629956 Provider ID #: 6888527 (402) 505-9493 Primary Office #: 5629956 Provider ID #: 4712260 Primary Office #: 6888527 Oommen, Shibu V., MD Primary Office #: 4712260 Peterson, Joshua R., ARNP Provider ID #: 4224674 Family Practice Pearson, Jennifer, DNP Nurse Practitioner Primary Office #: 4224674 16101 Evans Street Nurse Practitioner 8248 South 96 Street Qaqish, Farouq, MD Omaha, NE 68116 2602 J Street Suite 100 Family Practice (402) 717-9797 Omaha, NE 68107 La Vista, NE 68128 8248 South 96th Street (402) 733-3612 (402) 717-9580 La Vista, NE 68128 Provider ID #: 4003888 (402) 717-9500 Primary Office #: 4003888 Ortman, James Vincent, MD Internal Medicine 7823 Wakeley Plaza Omaha, NE 68114 (402) 397-7040

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 7709379 Provider ID #: 4902825 Provider ID #: 4707157 Provider ID #: 6365409 Primary Office #: 7709379 Primary Office #: 4902825 Primary Office #: 4707157 Primary Office #: 6365409 Quinlan, Mark T., MD Renn, Caitlin Michelle, MD Rohe, Samantha S., MD Ruse, Kelly F., NP Family Practice Pediatrics Pediatrics Nurse Practitioner 16945 Frances Street 4920 South 30th Street 987400 Nebraska Medical Center 4930 South 30 Street Suite 200 Suite 103 Omaha, NE 68198 Omaha, NE 68107 Omaha, NE 68130 Omaha, NE 68107 (402) 552-2000 (402) 734-4110 (402) 505-8787 (402) 734-4110 Provider ID #: 4707157 Provider ID #: 6365409 Provider ID #: 9222694 Provider ID #: 4902825 Primary Office #: 4707157 Primary Office #: 6365409 Primary Office #: 9222694 Primary Office #: 4902825 Childrens Specialty Physician Ruse, Kelly F., NP Rangray, Rajani, MD Renn, Caitlin Michelle, MD Rohe, Samantha S., MD Nurse Practitioner Internal Medicine Pediatrics Pediatrics 4920 South 30 Street 7710 Mercy Road 2520 South 130 Avenue 987400 Nebraska Medical Center Suite 103 Suite 2000 Omaha, NE 68144 Omaha, NE 68198 Omaha, NE 68107 Omaha, NE 68124 (402) 769-7077 (402) 955-2000 (402) 734-4110 (402) 717-9800 Provider ID #: 5803824 Provider ID #: 4707157 Provider ID #: 4665555 Provider ID #: 9222694 Primary Office #: 5803824 Primary Office #: 4707157 Primary Office #: 4665555 Primary Office #: 9222694 Reyes, Yulia, APRN Rohe, Samantha S., MD Russell, Ann B., MD Rangray, Rajani, MD Nurse Practitioner Pediatrics Pediatrics Internal Medicine 4220 L Street Emile Street And South 42nd Street 11602 West Center Road 16909 Lakeside Hills Court Omaha, NE 68107 Omaha, NE 68198 Suite 150 Suite 300 (402) 733-4433 (402) 955-8125 Omaha, NE 68144 Omaha, NE 68130 (402) 991-7337 (402) 449-4486 Provider ID #: 4588372 Provider ID #: 6308680 Primary Office #: 4588372 Primary Office #: 6308680 Provider ID #: 5337942 Provider ID #: 4706794 Rios, Elvira, MD Rose, Terri Jo, APRN Primary Office #: 5337942 Primary Office #: 4706794 Family Practice Nurse Practitioner Ryan, Micah J., MD Rasmussen, Adam R., MD 17021 Lakeside Hills Plaza 8248 South 96 Street Pediatrics Family Practice Suite 100 Suite 100 14080 Boys Town Hospital Road 249 Olson Drive Omaha, NE 68130 La Vista, NE 68128 Boys Town, NE 68010 Suite 111 (402) 333-0300 (402) 717-9580 (402) 778-6900 Papillion, NE 68046 (402) 991-2200 Provider ID #: 7588892 Provider ID #: 7800589 Provider ID #: 7307867 Primary Office #: 7588892 Primary Office #: 7800589 Primary Office #: 7307867 Provider ID #: 4829068 Ritchhart, Brett H., PA-C Rothlisberger-Castillo, Julie L., MD Rygol, Sara L., PA-C Primary Office #: 4829068 Physician Assistant Internal Medicine Physician Assistant Rediger, Alison N., APRN 17030 Lakeside Hills Plaza 4220 L Street 16101 Evans Street Nurse Practitioner Suite 204 Omaha, NE 68107 Omaha, NE 68116 4920 South 30th Street Omaha, NE 68130 (402) 733-4433 (402) 717-9700 Suite 103 (402) 758-5600 Omaha, NE 68107 Provider ID #: 4516375 Provider ID #: 9265079 (402) 734-4110 Provider ID #: 5442228 Primary Office #: 4516375 Primary Office #: 9265079 Primary Office #: 5442228 Roy, Chitrita G., MD Sachau, Erika C., PA-C Provider ID #: 4829068 Rizal, Chandrika, MD Pediatrics Physician Assistant Primary Office #: 4829068 Pediatrics 614 North 108th Court 11109 South 84th Street Rediger, Alison N., APRN 16909 Q Street Omaha, NE 68154 Suite 4800 Nurse Practitioner Omaha, NE 68135 (402) 991-5437 Papillion, NE 68046 4910 South 30th Street (402) 955-7575 (402) 827-4915 Omaha, NE 68107 Provider ID #: 9646985 (402) 734-4110 Provider ID #: 5905935 Primary Office #: 9646985 Provider ID #: 9582727 Primary Office #: 5905935 Rudish, Meredith C., CNM Primary Office #: 9582727 Provider ID #: 5880905 Rodriguez, Wolfgang Fabio, MD Midwife Sagrero, Katie M., MD Primary Office #: 5880905 Family Practice 4920 South 30th Street Family Practice Reeve-Iverson, Brandi A., MD 4220 L Street Suite 103 4101 South 120th Street Pediatrics Omaha, NE 68107 Omaha, NE 68107 Omaha, NE 68137 4802 Shannon Drive (402) 733-4433 (402) 734-4110 (402) 505-3907 Bellevue, NE 68133 (402) 955-7600 Provider ID #: 9535545 Provider ID #: 9646985 Provider ID #: 9582727 Primary Office #: 9535545 Primary Office #: 9646985 Primary Office #: 9582727 Rohatgi, Kavish, MD Rudish, Meredith C., CNM Sagrero, Katie M., MD Family Practice Midwife Family Practice 16101 Evans Street 4930 South 30th Street 4930 South 30th Street Omaha, NE 68116 Omaha, NE 68107 Omaha, NE 68107 (402) 717-9797 (402) 734-4110 (402) 734-4110

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 9739181 Provider ID #: 5937254 Provider ID #: 9613223 Provider ID #: 6355032 Primary Office #: 9739181 Primary Office #: 5937254 Primary Office #: 9613223 Primary Office #: 6355032 Salman Maki, Salam S., MD Saxena, Sandhya, MD Schulte, Kristi Lynn, PA-C Silvus, Kayla, APRN Internal Medicine Family Practice Physician Assistant Nurse Practitioner 7710 Mercy Road 2727 South 144th Street 4802 Shannon Drive 4220 L Street Suite 326 Suite 220 Bellevue, NE 68133 Omaha, NE 68107 Omaha, NE 68124 Omaha, NE 68144 (402) 955-7600 (402) 733-4433 (402) 717-9600 (402) 778-5500 Provider ID #: 5104549 Provider ID #: 5260366 Provider ID #: 9739181 Provider ID #: 5159732 Primary Office #: 5104549 Primary Office #: 5260366 Primary Office #: 9739181 Primary Office #: 5159732 Schwab, Robert J., MD Sindelar, Steven S., MD Salman Maki, Salam S., MD Saxena, Shailendra K., MD Internal Medicine Pediatrics Internal Medicine Family Practice 14080 Boys Town Hospital Road 4802 Shannon Drive 16909 Lakeside Hills Court General Practice Boys Town, NE 68010 Bellevue, NE 68133 Suite 300 11109 South 84th Street (402) 778-6900 (402) 955-7600 Omaha, NE 68130 Suite 5800 (402) 449-4486 Papillion, NE 68046 Provider ID #: 5025643 Provider ID #: 6853771 (402) 827-4900 Primary Office #: 5025643 Primary Office #: 6853771 Provider ID #: 7994350 Seivert, Patricia A., MD Singh, Sonal, MD Primary Office #: 7994350 Provider ID #: 9210488 Pediatrics Family Practice Sanchez, Rodolfo Mario, MD Primary Office #: 9210488 Emile At 42nd St 2734 North 61st Street Family Practice Schiessler, Cara E., APRN Omaha, NE 68198 Omaha, NE 68104 4920 South 30th Street Nurse Practitioner (402) 955-8125 (402) 553-0222 Suite 103 111 South 90th Street Omaha, NE 68107 Omaha, NE 68114 Provider ID #: 9422583 Provider ID #: 5758809 (402) 734-4110 (402) 397-9800 Primary Office #: 9422583 Primary Office #: 5758809 Sharma, Sanjeev K., MD Smith, Frances F., MD Provider ID #: 7994350 Provider ID #: 9210488 Family Practice Pediatrics Primary Office #: 7994350 Primary Office #: 9210488 2734 North 61st Street 9202 West Dodge Road Sanchez, Rodolfo Mario, MD Schiessler, Cara E., APRN Omaha, NE 68104 Suite 101 Family Practice Nurse Practitioner (402) 553-0222 Omaha, NE 68114 4930 South 30th Street 304 North 179th Street (402) 955-7500 Omaha, NE 68107 Suite 206 Provider ID #: 4645400 (402) 734-4110 Omaha, NE 68118 Primary Office #: 4645400 Provider ID #: 5758809 (402) 397-9800 Sharp, David G., MD Primary Office #: 5758809 Provider ID #: 7994350 Internal Medicine Smith, Frances F., MD Primary Office #: 7994350 Provider ID #: 5965213 17030 Lakeside Hills Plaza Pediatrics Sanchez, Rodolfo Mario, MD Primary Office #: 5965213 Suite 102 9801 Giles Road Family Practice Schlanger, Stuart R., MD Omaha, NE 68130 Suite 1 4910 South 30th Street Internal Medicine (402) 758-5800 La Vista, NE 68128 Omaha, NE 68107 7710 Mercy Road (402) 955-8400 (402) 734-4110 Suite 3000 Provider ID #: 4645400 Omaha, NE 68124 Primary Office #: 4645400 Provider ID #: 5758809 Provider ID #: 9782857 (402) 717-0800 Sharp, David G., MD Primary Office #: 5758809 Primary Office #: 9782857 Internal Medicine Smith, Frances F., MD Sanley, Michael J., MD Provider ID #: 7199323 18011 Oak Street Pediatrics Internal Medicine Primary Office #: 7199323 Omaha, NE 68130 110 North 175th Street 7710 Mercy Road Schmit, Tricia M., MD (402) 502-9454 Suite 1000 Suite 326 Pediatrics Omaha, NE 68118 Omaha, NE 68124 19102 Q Street Provider ID #: 7273809 (402) 955-8300 (402) 717-9600 Suite 102 Primary Office #: 7273809 Omaha, NE 68135 Shidler, Kelli J., MD Provider ID #: 4520034 Provider ID #: 9938580 (402) 330-5690 Pediatrics Primary Office #: 4520034 Primary Office #: 9938580 16929 Frances Street Smith, Jennifer A., MD Sawyer, Alexis L., MD Provider ID #: 5051543 Suite 101 Pediatrics Pediatrics Primary Office #: 5051543 Omaha, NE 68130 9202 West Dodge Road 7205 West Center Road Schooff, Michael D., MD (402) 758-5124 Suite 101 Suite 104 Family Practice Omaha, NE 68114 Omaha, NE 68124 8248 South 96th Street Provider ID #: 7273809 (402) 955-7500 (402) 392-7684 La Vista, NE 68128 Primary Office #: 7273809 (402) 717-9500 Shidler, Kelli J., MD Pediatrics 6715 South 180th Street Omaha, NE 68135 (402) 996-2300

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 7220273 Provider ID #: 6067883 Provider ID #: 7778235 Provider ID #: 4748582 Primary Office #: 7220273 Primary Office #: 6067883 Primary Office #: 7778235 Primary Office #: 4748582 Specht, Patrick James, MD Stebbins, Wyatt A., PA-C Stoner, H., MD Swanson, Mindee K., APRN Pediatrics Physician Assistant Family Practice Nurse Practitioner 4825 Dodge Street 4229 North 90 Street 17841 Pierce Plaza 2520 South 130 Avenue Omaha, NE 68132 Omaha, NE 68134 Omaha, NE 68130 Omaha, NE 68144 (402) 955-7676 (402) 401-6000 (402) 991-7000 (402) 769-7077

Provider ID #: 5464249 Provider ID #: 6311105 Provider ID #: 5015941 Provider ID #: 9322895 Primary Office #: 5464249 Primary Office #: 6311105 Primary Office #: 5015941 Primary Office #: 9322895 Spencer, Julie A., MD Steffensmeier, Ellen R., APRN Stoysich, Kelsey A., ARNP Sytsma, Amy L., APRN Family Practice Nurse Practitioner Nurse Practitioner Nurse Practitioner 17520 Wright Street 16909 Lakeside Hills Court 4802 Shannon Drive 7500 Mercy Road Suite 105 Suite 300 Bellevue, NE 68133 Omaha, NE 68124 Omaha, NE 68130 Omaha, NE 68130 (402) 955-7600 (402) 398-6014 (402) 991-5353 (402) 758-5400 Provider ID #: 4003971 Provider ID #: 9322895 Provider ID #: 4829983 Provider ID #: 5731665 Primary Office #: 4003971 Primary Office #: 9322895 Primary Office #: 4829983 Primary Office #: 5731665 Straley, Joseph G., MD Sytsma, Amy L., APRN Spencer, Kimberly N., PA-C Steinauer, Patrick J., MD Pediatrics Nurse Practitioner Physician Assistant Pediatrics 13808 West Maple Road 16901 Lakeside Hills Court 16101 Evans Street 18018 Burke Street Suite 100 Omaha, NE 68130 Omaha, NE 68116 Elkhorn, NE 68022 Omaha, NE 68164 (402) 398-6014 (402) 717-9700 (402) 573-7337 (402) 955-3000 Provider ID #: 9322895 Provider ID #: 4793944 Provider ID #: 4050905 Provider ID #: 4133896 Primary Office #: 9322895 Primary Office #: 4793944 Primary Office #: 4050905 Primary Office #: 4133896 Sytsma, Amy L., APRN Spivey, Emi M., APRN Stephenson, Betsy J., MD Strohmyer, Jeffry L., MD Nurse Practitioner Nurse Practitioner Pediatrics Family Practice 11111 South 84th Street 2734 North 61th Street 16909 Q Street 249 Olson Drive Papillion, NE 68046 Omaha, NE 68104 Omaha, NE 68135 Suite 111 (402) 398-6014 (402) 553-0222 (402) 955-7575 Papillion, NE 68046 (402) 991-2200 Provider ID #: 5342873 Provider ID #: 5898560 Provider ID #: 4516215 Primary Office #: 5342873 Primary Office #: 5898560 Primary Office #: 4516215 Provider ID #: 9248936 Teeter, Jane E., PA-C Sprague, Charles J., MD Stephenson, Yvonne M., MD Primary Office #: 9248936 Physician Assistant Pediatrics Internal Medicine Svoboda, Melissa L., APRN 4920 South 30th Street 16929 Frances Street 5370 South 84 Street Nurse Practitioner Suite 103 Suite 101 Suite A 7500 Mercy Road Omaha, NE 68107 Omaha, NE 68130 Ralston, NE 68127 Omaha, NE 68124 (402) 734-4110 (402) 758-5125 (402) 390-0555 (402) 398-6014 Provider ID #: 5342873 Provider ID #: 9525438 Provider ID #: 5949767 Provider ID #: 9248936 Primary Office #: 5342873 Primary Office #: 9525438 Primary Office #: 5949767 Primary Office #: 9248936 Teeter, Jane E., PA-C St. Germain, Melissa L., MD Stodden, Jennifer Lynn, PA-C Svoboda, Melissa L., APRN Physician Assistant Pediatrics Physician Assistant Nurse Practitioner 2520 South 130 Avenue 110 North 175th Street 16909 Lakeside Hills Court 16901 Lakeside Hills Court Omaha, NE 68144 Suite 1000 Suite 105 Omaha, NE 68130 (402) 769-7077 Omaha, NE 68118 Omaha, NE 68130 (402) 398-6014 (402) 955-5437 (402) 758-5800 Provider ID #: 6728899 Provider ID #: 9248936 Primary Office #: 6728899 Provider ID #: 7176277 Provider ID #: 5949767 Primary Office #: 9248936 Tellman, Chelsie, MD Primary Office #: 7176277 Primary Office #: 5949767 Svoboda, Melissa L., APRN Pediatrics Staack, Karen S., MD Stodden, Jennifer Lynn, PA-C Nurse Practitioner 14043 Brookhouse Road Family Practice Physician Assistant 11111 South 84th Street Boys Town, NE 68010 102 West Gruenther Road 17030 Lakeside Hills Plaza Papillion, NE 68046 (531) 355-7300 Gretna, NE 68028 Suite 102/104 (402) 398-6014 (402) 332-2772 Omaha, NE 68130 Provider ID #: 6728899 (402) 758-5800 Provider ID #: 4748582 Primary Office #: 6728899 Provider ID #: 4750214 Primary Office #: 4748582 Tellman, Chelsie, MD Primary Office #: 4750214 Swanson, Mindee K., APRN Pediatrics States, Emily Claire, PA-C Nurse Practitioner 14080 Boys Town Hospital Road Physician Assistant 4920 South 30th Street Boys Town, NE 68010 4220 L Street Suite 103 (531) 355-6900 Omaha, NE 68107 Omaha, NE 68107 (402) 717-7050 (402) 734-4110

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 7319886 Provider ID #: 7135394 Provider ID #: 5055013 Provider ID #: 9827579 Primary Office #: 7319886 Primary Office #: 7135394 Primary Office #: 5055013 Primary Office #: 9827579 Tempero, Jonell Annette, PA-C Townley, Theresa A., MD Vann, John J., MD Wallingford, Brenda K., APRN Physician Assistant Pediatrics Pediatrics Nurse Practitioner 14080 Hospital Road Internal Medicine 19102 Q Street 16901 Lakeside Hills Court Boys Town, NE 68010 7710 Mercy Road Suite 102 Omaha, NE 68130 (402) 778-6900 Suite 3000 Omaha, NE 68135 (402) 398-6014 Omaha, NE 68124 (402) 330-5690 Provider ID #: 7319886 (402) 717-0800 Provider ID #: 9827579 Primary Office #: 7319886 Provider ID #: 9774369 Primary Office #: 9827579 Tempero, Jonell Annette, PA-C Provider ID #: 9135086 Primary Office #: 9774369 Wallingford, Brenda K., APRN Physician Assistant Primary Office #: 9135086 Vargas, Monica, MD Nurse Practitioner 14080 Boys Town Hospital Road Uribarri, Candice K., APRN Pediatrics 11111 South 84th Street Boys Town, NE 68010 Nurse Practitioner 4920 South 30th Street Papillion, NE 68046 (402) 778-6900 4825 Dodge Street Suite 103 (402) 398-6014 Omaha, NE 68132 Omaha, NE 68107 Provider ID #: 4826519 (402) 955-7650 (402) 734-4110 Provider ID #: 9565826 Primary Office #: 4826519 Primary Office #: 9565826 Thoman, Erin E., MSN Provider ID #: 9135086 Provider ID #: 7368491 Wallingford, Kristina L., APRN Nurse Practitioner Primary Office #: 9135086 Primary Office #: 7368491 Nurse Practitioner 14080 Hospital Road Uribarri, Candice K., APRN Vasudevan, Jayan, MD 7500 Mercy Road Boys Town, NE 68010 Nurse Practitioner Pediatrics Omaha, NE 68124 (402) 778-6900 9801 Giles Road 7500 Mercy Road (402) 398-6014 Suite 1 Omaha, NE 68124 Provider ID #: 4965173 La Vista, NE 68128 (402) 398-6060 Provider ID #: 9565826 Primary Office #: 4965173 (402) 955-7200 Primary Office #: 9565826 Toffle, Jeremy Charles, MD Provider ID #: 7368491 Wallingford, Kristina L., APRN Pediatrics Provider ID #: 9135086 Primary Office #: 7368491 Nurse Practitioner 4802 Shannon Drive Primary Office #: 9135086 Vasudevan, Jayan, MD 16901 Lakeside Hills Court Bellevue, NE 68133 Uribarri, Candice K., APRN Pediatrics Omaha, NE 68130 (402) 955-7600 Nurse Practitioner 4825 Dodge Street (402) 398-6014 110 North 175th Street Omaha, NE 68132 Provider ID #: 7026950 Suite 1000 (402) 955-7650 Provider ID #: 9565826 Primary Office #: 7026950 Omaha, NE 68118 Primary Office #: 9565826 Tolston, Monique Algia-Louise, MD (402) 955-8300 Provider ID #: 4131486 Wallingford, Kristina L., APRN Family Practice Primary Office #: 4131486 Nurse Practitioner 5420 Northwest Radial Hwy. Provider ID #: 7653507 Vinton, Thomas J., MD 11111 South 84th Street Suite A Primary Office #: 7653507 Family Practice Papillion, NE 68046 Omaha, NE 68104 Vanderbur, Lars E., MD 17030 Lakeside Hills Plaza (402) 398-6014 (402) 933-9484 Pediatrics Suite 102 7500 Mercy Road Omaha, NE 68130 Provider ID #: 7307638 Provider ID #: 5398011 Omaha, NE 68124 (402) 758-5800 Primary Office #: 7307638 Primary Office #: 5398011 (402) 398-6060 Walters, Paula E., MD Tomek, Debra J., MD Provider ID #: 4836395 Pediatrics Pediatrics Provider ID #: 7653507 Primary Office #: 4836395 Internal Medicine 4224 South 50th Street Primary Office #: 7653507 Vollmuth, Katie L., MD 10109 Maple Street Omaha, NE 68117 Vanderbur, Lars E., MD Pediatrics Omaha, NE 68134 (402) 955-7474 Pediatrics 11856 Standing Stone Drive (402) 572-3500 9202 Dodge Street Gretna, NE 68028 Provider ID #: 5398011 Suite 101 (402) 955-6630 Provider ID #: 5149451 Primary Office #: 5398011 Omaha, NE 68114 Primary Office #: 5149451 Tomek, Debra J., MD (402) 955-7500 Provider ID #: 4836395 Walts, Michael J., MD Pediatrics Primary Office #: 4836395 Family Practice 110 North 175th Street Provider ID #: 4205712 Vollmuth, Katie L., MD 11109 South 84th Street Suite 1000 Primary Office #: 4205712 Pediatrics Suite 5800 Omaha, NE 68118 Vandersluis, Nancy L., MD 16909 Q Street Papillion, NE 68046 (402) 955-8300 Pediatrics Omaha, NE 68135 (402) 827-4900 14080 Boys Town Hospital Road (402) 955-7575 Boys Town, NE 68010 Provider ID #: 7868199 (402) 778-6900 Provider ID #: 9827579 Primary Office #: 7868199 Primary Office #: 9827579 Washington, Stella G., PA-C Wallingford, Brenda K., APRN Physician Assistant Nurse Practitioner 4101 South 120th Street 7500 Mercy Road Omaha, NE 68137 Omaha, NE 68124 (402) 505-3907 (402) 398-6014

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: (NE & IA) Aetna Whole Health SM - CHI Health Accountable Care Network - Managed Choice Provider Type: Primary Care Physicians You searched by: State: NE Zip Code: 68137 Distance: 30 PCP Type: ALL PCPS November 12, 2019

Provider ID #: 9839478 Provider ID #: 7460016 Provider ID #: 5028044 Primary Office #: 9839478 Primary Office #: 7460016 Primary Office #: 5028044 Wehrbein, Rebecca M., PA-C Winterscheid, Melinda L., MD Zawaideh, Ziad Louis, MD Physician Assistant Pediatrics Family Practice 11109 South 84th Street 7205 West Center Road 4951 Center Street Suite 4800 Suite 104 Suite 200 Papillion, NE 68046 Omaha, NE 68124 Omaha, NE 68106 (402) 827-4915 (402) 392-7684 (402) 558-2500

Provider ID #: 6085008 Provider ID #: 4947670 Provider ID #: 5028044 Primary Office #: 6085008 Primary Office #: 4947670 Primary Office #: 5028044 Weilage, Brooke, PA-C Worley, Anna, MD Zawaideh, Ziad Louis, MD Physician Assistant Family Practice Family Practice 555 Fortune Drive 16909 Lakeside Hills Court 4951 Center Street Papillion, NE 68046 Suite 300 Suite 100 (402) 502-3600 Omaha, NE 68130 Omaha, NE 68106 (402) 758-5400 (402) 558-2500 Provider ID #: 9471208 Primary Office #: 9471208 Provider ID #: 4060998 Provider ID #: 9679712 Whaley, Debra K., MD Primary Office #: 4060998 Primary Office #: 9679712 Pediatrics Worner, Amanda J., ARNP Zimmer, Andrea Lynn, MD 16929 Frances Street Nurse Practitioner Pediatrics Suite 101 4951 Center Street 14080 Boys Town Hospital Road Omaha, NE 68130 Suite 200 Boys Town, NE 68010 (402) 758-5125 Omaha, NE 68106 (402) 778-6900 (402) 558-2500 Provider ID #: 9471208 Provider ID #: 7637911 Primary Office #: 9471208 Provider ID #: 7540201 Primary Office #: 7637911 Whaley, Debra K., MD Primary Office #: 7540201 Zimmerman, Heather L., MD Pediatrics Yaghmour, Anthony Kamal, MD Pediatrics 6715 South 180th Street Pediatrics 14080 Boys Town Hospital Road Omaha, NE 68135 8200 Dodge Street Boys Town, NE 68010 (402) 996-2300 Omaha, NE 68114 (402) 778-6900 (402) 955-5400 Provider ID #: 5849648 Provider ID #: 9171831 Primary Office #: 5849648 Provider ID #: 7200369 Primary Office #: 9171831 Whitcomb, Lisa L., MD Primary Office #: 7200369 Zobel, Valori E., APRN Pediatrics Yetman, Angela T., MD Nurse Practitioner 14421 Dupont Court Internal Medicine 7500 Mercy Road Omaha, NE 68144 8303 Dodge Street Omaha, NE 68124 (402) 884-6400 Omaha, NE 68114 (402) 398-6014 (402) 955-4350 Provider ID #: 5242072 Provider ID #: 9171831 Primary Office #: 5242072 Provider ID #: 7200369 Primary Office #: 9171831 Wilczewski, Michael Jon, MD Primary Office #: 7200369 Zobel, Valori E., APRN Pediatrics Yetman, Angela T., MD Nurse Practitioner 16909 Q Street Internal Medicine 16901 Lakeside Hills Court Omaha, NE 68135 8200 Dodge Street Omaha, NE 68130 (402) 955-7575 Omaha, NE 68114 (402) 398-6014 (402) 955-4350 Provider ID #: 5325918 Primary Office #: 5325918 Provider ID #: 7200369 Williamsen, Jessica J., APRN Primary Office #: 7200369 Nurse Practitioner Yetman, Angela T., MD 13315 West Center Road Internal Medicine Suite 100 11111 South 84th Street Omaha, NE 68144 Papillion, NE 68046 (402) 717-9400 (402) 955-4350

Provider ID #: 5433651 Provider ID #: 9459071 Primary Office #: 5433651 Primary Office #: 9459071 Wilwerding, Laura, MD Youngman, Christopher A., MD Pediatrics Pediatrics 8723 Oak Street 11856 Standing Stone Drive Omaha, NE 68124 Gretna, NE 68028 (402) 934-0087 (402) 955-6630

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers.