Active NPI 1144304429 Individual Practitioner Male Practitioner

David E Kershner , PA-C

Physician Assistant • Omaha, NE

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

David Kershner, PA-C is a certified Physician Assistant practicing in Omaha, NE. With approximately 30 years of clinical experience since completing medical education in 1996, David Kershner delivers high-quality medical care to the local community at 2429 M ST.

David Kershner maintains professional affiliations with Joshua Medical Centers Llc, Heartland Emergicare, P.C. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2429 M St

Omaha, NE 681072715

Telephone 4027317333

Fax 4026145405

Associated Practice Facility / Clinic

🏢 Joshua Medical Center Facility NPI 1639195282

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Omaha, NE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +18.2 yrs vs City Avg

City Avg: 11.8 Yrs

State Avg: 14.6 Yrs

Regional Practice Density

552 Specialists

Practicing in Omaha, NE (1366 Statewide)

Telehealth Adoption Rate

12.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kershner (30 Years) 30 Yrs

Omaha Specialty Average (11.8 Years) 11.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	260	60	$220.00	$98.88
J1100 Injection, dexamethasone sodium phosphate, 1 mg	162	15	$1.00	$0.11
36415 Insertion of needle into vein for collection of blood sample	144	59	$16.00	$8.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	102	29	$60.00	$11.19
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	86	27	$45.00	$15.63
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	72	51	$25.00	$6.25
J0696 Injection, ceftriaxone sodium, per 250 mg	58	16	$15.00	$0.46
99213 Established patient office or other outpatient visit, typically 15 minutes	56	36	$174.00	$69.19
87070 Bacterial culture	53	21	$35.00	$8.45
81003 Automated urinalysis test	49	29	$25.00	$2.16
81001 Manual urinalysis test with examination using microscope, automated	40	19	$15.00	$3.11
93000 Routine ekg using at least 12 leads including interpretation and report	35	30	$68.00	$10.72
84439 Thyroxine (thyroid chemical), free	31	24	$36.00	$8.55
84443 Blood test, thyroid stimulating hormone (TSH)	30	25	$46.00	$15.91
72100 X-ray of lower and sacral spine, 2-3 views	22	15	$124.00	$30.83
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$30.00	$20.75
G0008 Administration of influenza virus vaccine	18	18	$45.00	$29.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$225.00	$101.43
71046 X-ray of chest, 2 views	17	12	$124.00	$24.43
83525 Insulin measurement, total	14	13	$40.00	$10.40
84681 C-peptide (protein) level	14	13	$88.00	$18.93
G0444 Annual depression screening, 5 to 15 minutes	12	12	$25.00	$14.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	62	$220.00	$100.23
36415 Insertion of needle into vein for collection of blood sample	158	64	$16.00	$8.29
99213 Established patient office or other outpatient visit, typically 15 minutes	130	51	$174.00	$70.62
J1100 Injection, dexamethasone sodium phosphate, 1 mg	110	15	$1.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	100	35	$60.00	$11.14
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	97	58	$25.00	$6.27
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	83	36	$45.00	$16.00
80053 Blood test, comprehensive group of blood chemicals	63	45	$45.00	$10.35
J0696 Injection, ceftriaxone sodium, per 250 mg	58	21	$15.00	$0.50
87070 Bacterial culture	58	30	$35.00	$8.30
84443 Blood test, thyroid stimulating hormone (TSH)	52	37	$46.00	$16.14
84439 Thyroxine (thyroid chemical), free	52	37	$36.00	$8.67
80061 Blood test, lipids (cholesterol and triglycerides)	50	40	$50.00	$12.86
82948 Blood glucose (sugar) measurement using reagent strip	48	13	$30.00	$4.43
83525 Insulin measurement, total	44	35	$40.00	$10.95
84681 C-peptide (protein) level	44	34	$88.00	$19.93
93000 Routine ekg using at least 12 leads including interpretation and report	37	33	$68.00	$11.20
81003 Automated urinalysis test	37	28	$25.00	$2.14
81001 Manual urinalysis test with examination using microscope, automated	33	22	$15.00	$3.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$225.00	$101.50
84403 Testosterone (hormone) level, total	28	15	$65.00	$25.29
G0444 Annual depression screening, 5 to 15 minutes	27	27	$25.00	$14.44
71046 X-ray of chest, 2 views	22	11	$124.00	$26.39
72100 X-ray of lower and sacral spine, 2-3 views	17	15	$124.00	$31.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	71	$220.00	$100.82
J1100 Injection, dexamethasone sodium phosphate, 1 mg	237	15	$1.00	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	162	31	$15.00	$0.49
36415 Insertion of needle into vein for collection of blood sample	133	55	$16.00	$2.94
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	127	52	$45.00	$16.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	102	40	$60.00	$11.31
99213 Established patient office or other outpatient visit, typically 15 minutes	95	48	$174.00	$71.43
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	81	46	$25.00	$6.39
80053 Blood test, comprehensive group of blood chemicals	81	48	$45.00	$10.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	68	32	$320.00	$142.31
84443 Blood test, thyroid stimulating hormone (TSH)	66	41	$46.00	$16.58
84439 Thyroxine (thyroid chemical), free	62	39	$36.00	$8.91
87070 Bacterial culture	59	34	$35.00	$8.35
93000 Routine ekg using at least 12 leads including interpretation and report	54	41	$68.00	$11.18
82948 Blood glucose (sugar) measurement using reagent strip	45	16	$30.00	$4.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$225.00	$103.57
80061 Blood test, lipids (cholesterol and triglycerides)	41	33	$50.00	$13.21
G0444 Annual depression screening, 5 to 15 minutes	38	38	$25.00	$14.49
83036 Hemoglobin A1C level	31	28	$40.00	$9.30
83525 Insulin measurement, total	27	22	$40.00	$11.29
84403 Testosterone (hormone) level, total	25	16	$65.00	$25.48
71046 X-ray of chest, 2 views	25	15	$124.00	$26.67
81003 Automated urinalysis test	23	14	$25.00	$2.22
72100 X-ray of lower and sacral spine, 2-3 views	19	15	$124.00	$31.71
84681 C-peptide (protein) level	18	15	$88.00	$20.45
81001 Manual urinalysis test with examination using microscope, automated	16	13	$15.00	$3.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	262	74	$173.15	$72.68
J0696 Injection, ceftriaxone sodium, per 250 mg	182	25	$18.52	$0.54
36415 Insertion of needle into vein for collection of blood sample	142	66	$16.00	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	54	$233.26	$103.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg	130	11	$1.00	$0.15
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	126	51	$46.55	$16.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	92	39	$60.00	$11.31
82948 Blood glucose (sugar) measurement using reagent strip	72	17	$30.00	$5.01
80053 Blood test, comprehensive group of blood chemicals	64	47	$50.94	$10.52
87070 Bacterial culture	62	42	$35.00	$8.62
J1885 Injection, ketorolac tromethamine, per 15 mg	56	12	$4.00	$0.52
93000 Routine ekg using at least 12 leads including interpretation and report	49	37	$68.00	$11.65
81003 Automated urinalysis test	48	28	$25.00	$2.25
G0444 Annual depression screening, 5 to 15 minutes	44	44	$25.00	$14.83
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	44	30	$26.59	$6.47
81001 Manual urinalysis test with examination using microscope, automated	44	23	$15.00	$3.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$225.00	$105.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	26	$320.00	$144.83
83036 Hemoglobin A1C level	33	30	$50.45	$9.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	20	$102.58	$44.33
80061 Blood test, lipids (cholesterol and triglycerides)	23	21	$56.96	$13.25
84439 Thyroxine (thyroid chemical), free	21	17	$32.67	$9.02
84443 Blood test, thyroid stimulating hormone (TSH)	20	17	$48.00	$16.80
71046 X-ray of chest, 2 views	15	12	$124.00	$26.60
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	14	14	$40.00	$40.00
G0008 Administration of influenza virus vaccine	14	14	$45.00	$15.84
72100 X-ray of lower and sacral spine, 2-3 views	12	11	$124.00	$31.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	390	17	$0.95	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	361	87	$172.35	$59.60
J0696 Injection, ceftriaxone sodium, per 250 mg	339	44	$40.65	$0.57
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	205	68	$50.00	$16.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	164	49	$59.63	$11.07
36415 Insertion of needle into vein for collection of blood sample	145	67	$16.00	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	58	$270.00	$85.88
87070 Bacterial culture	110	56	$35.00	$8.49
80053 Blood test, comprehensive group of blood chemicals	85	56	$55.00	$10.42
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	75	47	$49.00	$6.38
J1885 Injection, ketorolac tromethamine, per 15 mg	74	14	$4.00	$0.50
82948 Blood glucose (sugar) measurement using reagent strip	60	16	$39.83	$4.65
81001 Manual urinalysis test with examination using microscope, automated	48	27	$15.00	$3.15
83036 Hemoglobin A1C level	46	35	$55.00	$9.52
93000 Routine ekg using at least 12 leads including interpretation and report	42	36	$68.00	$13.25
80061 Blood test, lipids (cholesterol and triglycerides)	36	29	$60.00	$13.04
81003 Automated urinalysis test	29	19	$25.00	$2.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$225.00	$92.71
G0444 Annual depression screening, 5 to 15 minutes	25	25	$30.80	$14.48
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$50.00	$19.58
G0008 Administration of influenza virus vaccine	18	18	$45.00	$15.75
71046 X-ray of chest, 2 views	17	13	$124.00	$25.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$100.00	$35.98
86328 Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative	15	15	$100.00	$45.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	710	33	$1.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	477	110	$172.35	$58.54
J0696 Injection, ceftriaxone sodium, per 250 mg	291	44	$17.35	$0.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	219	67	$60.00	$13.02
36415 Insertion of needle into vein for collection of blood sample	183	85	$16.00	$2.94
J1885 Injection, ketorolac tromethamine, per 15 mg	168	27	$4.00	$0.52
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	159	70	$50.00	$16.09
80053 Blood test, comprehensive group of blood chemicals	126	75	$55.00	$11.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	64	$292.32	$85.95
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	124	71	$58.95	$7.04
87070 Bacterial culture	120	60	$67.67	$9.35
82948 Blood glucose (sugar) measurement using reagent strip	100	28	$14.00	$4.87
81001 Manual urinalysis test with examination using microscope, automated	91	44	$15.00	$3.40
83036 Hemoglobin A1C level	77	58	$55.00	$10.57
81003 Automated urinalysis test	73	52	$25.00	$2.44
93000 Routine ekg using at least 12 leads including interpretation and report	71	58	$86.17	$13.31
80061 Blood test, lipids (cholesterol and triglycerides)	68	55	$75.59	$14.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	44	$100.00	$35.52
71046 X-ray of chest, 2 views	46	32	$124.00	$24.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$209.71	$90.16
G0008 Administration of influenza virus vaccine	30	30	$45.00	$15.43
72100 X-ray of lower and sacral spine, 2-3 views	25	18	$124.00	$28.54
73560 X-ray of knee, 1-2 views	18	17	$72.00	$25.11
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$46.06	$18.65
72040 X-ray of upper spine, 2-3 views	12	11	$137.00	$28.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$320.00	$115.51
87651 Detection test for Strep (Streptococcus, group A)	11	11	$160.00	$38.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	446	134	$172.35	$56.28
J0696 Injection, ceftriaxone sodium, per 250 mg	322	54	$74.36	$0.61
J1100 Injection, dexamethasone sodium phosphate, 1 mg	266	18	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	94	$298.95	$82.68
36415 Insertion of needle into vein for collection of blood sample	202	101	$16.00	$2.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	195	71	$59.08	$15.59
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	188	91	$50.00	$15.47
82948 Blood glucose (sugar) measurement using reagent strip	147	37	$10.00	$4.94
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	139	84	$60.00	$7.59
80053 Blood test, comprehensive group of blood chemicals	136	83	$55.00	$12.50
J1885 Injection, ketorolac tromethamine, per 15 mg	128	23	$4.00	$0.56
81001 Manual urinalysis test with examination using microscope, automated	123	61	$15.00	$3.84
87070 Bacterial culture	102	68	$70.00	$10.12
81003 Automated urinalysis test	79	49	$25.00	$2.64
83036 Hemoglobin A1C level	74	59	$55.00	$11.43
93000 Routine ekg using at least 12 leads including interpretation and report	66	59	$98.00	$12.85
80061 Blood test, lipids (cholesterol and triglycerides)	60	53	$80.00	$15.93
87086 Bacterial colony count, urine	58	31	$80.00	$9.76
71046 X-ray of chest, 2 views	50	31	$124.00	$22.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$205.00	$90.62
72100 X-ray of lower and sacral spine, 2-3 views	32	28	$124.00	$26.13
86677 Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)	31	25	$52.00	$16.98
87804 Detection test by immunoassay with direct visual observation for influenza virus	25	15	$40.00	$15.12
G0008 Administration of influenza virus vaccine	20	20	$45.00	$18.95
90756 Vaccine for influenza for injection into muscle	19	19	$40.53	$22.33
73560 X-ray of knee, 1-2 views	15	13	$72.00	$22.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	506	141	$155.86	$57.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg	394	23	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	372	139	$235.89	$83.41
J0696 Injection, ceftriaxone sodium, per 250 mg	351	55	$18.37	$0.62
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	345	122	$50.00	$15.48
36415 Insertion of needle into vein for collection of blood sample	274	120	$16.00	$2.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	215	86	$49.32	$19.54
J1885 Injection, ketorolac tromethamine, per 15 mg	194	33	$4.04	$0.65
82948 Blood glucose (sugar) measurement using reagent strip	187	52	$10.00	$2.10
81001 Manual urinalysis test with examination using microscope, automated	185	86	$15.00	$4.21
87070 Bacterial culture	173	92	$70.00	$11.29
80053 Blood test, comprehensive group of blood chemicals	155	101	$45.01	$12.39
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	145	88	$42.76	$8.39
81003 Automated urinalysis test	144	77	$12.60	$2.95
86677 Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)	104	68	$52.00	$19.31
93000 Routine ekg using at least 12 leads including interpretation and report	90	74	$98.00	$13.05
87086 Bacterial colony count, urine	86	47	$80.00	$10.85
83036 Hemoglobin A1C level	79	64	$42.65	$12.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	43	$277.10	$112.21
71020 X-ray of chest, 2 views, front and side	55	36	$121.10	$20.60
80061 Blood test, lipids (cholesterol and triglycerides)	52	46	$58.85	$13.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$205.00	$91.51
72100 X-ray of lower and sacral spine, 2-3 views	39	30	$124.00	$27.32
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	32	32	$31.00	$18.07
G0008 Administration of influenza virus vaccine	30	30	$45.00	$23.36
87804 Detection test by immunoassay with direct visual observation for influenza virus	29	14	$38.62	$15.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$100.00	$34.27
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	18	17	$40.00	$6.24
73560 X-ray of knee, 1-2 views	15	14	$72.00	$23.89
72040 X-ray of upper spine, 2-3 views	11	11	$137.00	$25.58

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NE 710

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Joshua Medical Centers Llc

2429 M St, Omaha, NE 681072715

Phone: 4027317333

Heartland Emergicare, P.c.

2419 M St, Omaha, NE 681072715

Phone: 4029339582

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Gloria Kokes

Nurse Practitioner - Family

NPI 1003399916

Jeffrey Hammer , PA

Physician Assistant

NPI 1043326473

Physician Assistant

Dr. Rodney Czaplewski , MD

Family Medicine

NPI 1114092996

Doctor of Medicine (M.D.)

Dr. Juvet Che , MD

Psychiatry & Neurology - Psychiatry

NPI 1295093722

Doctor of Medicine (M.D.)

Sarah Lafferty , PA

Physician Assistant - Medical

NPI 1336745470

Physician Assistant

John Patrick , APRN

Nurse Practitioner

NPI 1568736577

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 28, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 28, 2014

Registered at 2429 M ST, OMAHA, NE 681072715 (Tel: 4027317333)

📍

Updated Business Mailing Address January 28, 2014

Registered at 2429 M ST, OMAHA, NE 681072715 (Tel: 4027317333)

👤

Provider Name / Credentials Updated January 28, 2014

Recorded as DAVID KERSHNER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2014

Physician Assistant (License #710 in NE)

🟢

Initial NPI Registration & Enumeration October 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144304429

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 24, 2006

Last Update: January 28, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2429 M St

Omaha, NE 681072715

Phone: 4027317333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.