Active NPI 1104877018 Individual Practitioner Female Practitioner

Stefanie L Bolte

Urology • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Stefanie Bolte is a registered healthcare professional specializing in Urology in Omaha, NE. Practice services are available at 10707 PACIFIC ST under active NPI credentials.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, insertion of needle into vein for collection of blood sample, psa (prostate specific antigen) measurement, total. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10707 Pacific St
Suite 101

Omaha, NE 681144762

Telephone 4023977989

Fax 4023937554

Associated Practice Facility / Clinic

🏢 Adult & Pediatric Urology, Pc Facility NPI 1356387831

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Omaha, NE

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.5 Yrs

State Avg: 36.8 Yrs

Regional Practice Density

56 Specialists

Practicing in Omaha, NE (89 Statewide)

Telehealth Adoption Rate

21.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,550	12	$3.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	509	362	$11.99	$2.96
84153 Psa (prostate specific antigen) measurement, total	474	342	$72.95	$18.12
81003 Automated urinalysis test	333	231	$17.00	$2.22
99213 Established patient office or other outpatient visit, typically 15 minutes	268	202	$182.64	$85.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	240	179	$269.00	$120.08
51798 Ultrasound measurement of bladder capacity after voiding	187	144	$68.00	$9.48
84403 Testosterone (hormone) level, total	125	74	$86.92	$25.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	21	$112.00	$52.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	33	$201.00	$66.95
52000 Diagnostic exam of bladder and urethra using an endoscope	31	28	$551.00	$71.33
52000 Diagnostic exam of bladder and urethra using an endoscope	31	26	$551.00	$229.73
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	24	$51.00	$21.56
76000 Imaging guidance for procedure, 60 minutes or less	26	24	$135.00	$14.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$268.00	$105.30
52287 Exam with injections of chemical for destruction of bladder using an endoscope	24	20	$895.00	$153.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$414.00	$157.91
84154 Psa (prostate specific antigen) measurement, free	19	19	$73.00	$18.16
86316 Analysis for detection of tumor marker	18	17	$55.00	$20.57
82565 Blood creatinine level	16	15	$15.00	$5.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$133.00	$36.06
74178 Ct scan of abdomen and pelvis before and after contrast	12	12	$836.00	$248.00
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	11	11	$908.00	$349.03
74410 Imaging of urinary tract using infusion technique	11	11	$312.00	$111.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,700	16	$2.00	$0.12
81003 Automated urinalysis test	588	391	$16.00	$2.24
36415 Insertion of needle into vein for collection of blood sample	507	355	$11.00	$3.00
84153 Psa (prostate specific antigen) measurement, total	459	319	$69.00	$18.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	367	270	$256.38	$122.24
99213 Established patient office or other outpatient visit, typically 15 minutes	340	241	$173.00	$85.91
51798 Ultrasound measurement of bladder capacity after voiding	338	237	$64.00	$9.31
84403 Testosterone (hormone) level, total	126	75	$82.00	$25.81
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	111	11	$478.00	$179.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$394.00	$157.26
52000 Diagnostic exam of bladder and urethra using an endoscope	70	69	$524.00	$74.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$255.00	$105.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	48	$191.00	$67.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	18	$106.00	$52.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	45	37	$48.00	$21.29
76000 Imaging guidance for procedure, 60 minutes or less	45	36	$128.00	$14.38
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	40	38	$864.00	$343.85
52287 Exam with injections of chemical for destruction of bladder using an endoscope	37	29	$852.00	$154.43
52000 Diagnostic exam of bladder and urethra using an endoscope	36	29	$524.00	$217.70
51702 Simple insertion of temporary bladder tube	32	16	$212.00	$59.93
82565 Blood creatinine level	32	31	$14.00	$5.12
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	31	11	$90.00	$30.34
74018 X-ray of abdomen, 1 view	29	24	$38.00	$19.09
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	29	29	$424.00	$34.99
51797 Insertion of device into abdomen with pressure and urine flow rate study	27	27	$541.00	$171.13
76770 Complete ultrasound scan behind abdominal cavity	24	24	$234.00	$71.37
51741 Electronic assessment of bladder emptying	24	24	$175.00	$6.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	12	$49.00	$13.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$288.00	$128.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$126.00	$36.39
84520 Urea nitrogen level to assess kidney function	18	17	$10.00	$3.95
50590 Shock wave crushing of kidney stones	17	17	$1975.00	$473.68
51701 Insertion of temporary bladder tube	16	15	$216.00	$42.93
84460 Liver enzyme (sgpt), level	16	15	$13.00	$5.30
51700 Simple bladder irrigation and/or instillation	16	15	$191.00	$73.86
84450 Liver enzyme (sgot), level	16	15	$13.00	$5.18
86316 Analysis for detection of tumor marker	15	15	$52.00	$20.81
84550 Uric acid level, blood	15	14	$11.00	$4.52
84155 Total protein level, blood	15	14	$11.00	$3.67
84154 Psa (prostate specific antigen) measurement, free	15	15	$69.00	$18.39
84075 Phosphatase (enzyme) level, alkaline	15	14	$13.00	$5.18
82310 Calcium level, total	15	14	$13.00	$5.16
76872 Ultrasound scan of pelvic region through rectum	15	13	$338.00	$31.84
82150 Amylase (enzyme) level	14	13	$15.00	$6.48
82247 Bilirubin level	14	13	$15.00	$5.02
82977 Glutamyltransferase (liver enzyme) level	14	13	$18.00	$7.20
74176 Ct scan of abdomen and pelvis without contrast	14	14	$478.00	$104.00
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$796.00	$255.53
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$228.00	$94.56
82040 Albumin (protein) level	14	13	$12.00	$4.95
52005 Insertion of tube into ureter using an endoscope through bladder area	13	13	$849.00	$74.05
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	11	$1365.00	$97.71
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	11	$1523.08	$417.97
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	11	$451.00	$29.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)	12	12	$69.00	$19.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,700	24	$2.00	$0.11
81003 Automated urinalysis test	539	349	$16.00	$2.22
36415 Insertion of needle into vein for collection of blood sample	536	357	$11.00	$2.98
84153 Psa (prostate specific antigen) measurement, total	489	324	$69.00	$18.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	319	226	$256.00	$103.87
99213 Established patient office or other outpatient visit, typically 15 minutes	318	235	$173.00	$71.22
51798 Ultrasound measurement of bladder capacity after voiding	251	181	$64.00	$9.36
84403 Testosterone (hormone) level, total	137	66	$82.00	$25.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	102	66	$191.00	$70.24
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	93	12	$478.00	$224.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$394.00	$155.06
52000 Diagnostic exam of bladder and urethra using an endoscope	60	58	$524.00	$77.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$255.00	$101.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	28	$106.00	$42.91
52287 Exam with injections of chemical for destruction of bladder using an endoscope	46	35	$852.00	$163.56
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	44	28	$48.00	$21.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	14	$49.00	$13.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	30	$126.00	$38.20
76000 Imaging guidance for procedure, 60 minutes or less	38	33	$128.00	$14.62
52000 Diagnostic exam of bladder and urethra using an endoscope	36	31	$524.00	$196.91
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	13	$90.00	$29.62
74018 X-ray of abdomen, 1 view	29	27	$38.00	$18.32
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$228.00	$98.02
51702 Simple insertion of temporary bladder tube	27	13	$212.00	$57.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$241.56	$133.03
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	26	26	$424.00	$35.82
82565 Blood creatinine level	25	23	$14.00	$5.07
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	24	24	$864.00	$333.51
51741 Electronic assessment of bladder emptying	24	24	$175.00	$7.07
51797 Insertion of device into abdomen with pressure and urine flow rate study	23	23	$541.00	$153.38
74178 Ct scan of abdomen and pelvis before and after contrast	19	19	$796.00	$247.10
76770 Complete ultrasound scan behind abdominal cavity	16	14	$234.00	$79.79
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$849.00	$138.81
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$1320.00	$388.51
50590 Shock wave crushing of kidney stones	14	13	$1975.00	$504.75
74176 Ct scan of abdomen and pelvis without contrast	13	13	$478.00	$124.22
76872 Ultrasound scan of pelvic region through rectum	12	11	$338.00	$33.11
74410 Imaging of urinary tract using infusion technique	11	11	$297.00	$110.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,500	24	$1.68	$0.11
81003 Automated urinalysis test	635	437	$16.00	$2.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	387	286	$256.00	$101.79
99213 Established patient office or other outpatient visit, typically 15 minutes	385	284	$173.00	$69.59
51798 Ultrasound measurement of bladder capacity after voiding	350	242	$64.00	$11.41
36415 Insertion of needle into vein for collection of blood sample	233	207	$11.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	191	170	$69.00	$20.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	161	161	$394.00	$154.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	119	80	$164.71	$63.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	57	$106.00	$41.87
52000 Diagnostic exam of bladder and urethra using an endoscope	94	91	$524.00	$77.17
74018 X-ray of abdomen, 1 view	56	40	$38.00	$17.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	18	$49.00	$15.66
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	47	46	$864.00	$309.99
51741 Electronic assessment of bladder emptying	47	46	$175.00	$6.98
51797 Insertion of device into abdomen with pressure and urine flow rate study	47	46	$541.00	$127.96
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	46	46	$424.00	$31.58
52000 Diagnostic exam of bladder and urethra using an endoscope	41	33	$524.00	$171.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$309.79	$126.87
52287 Exam with injections of chemical for destruction of bladder using an endoscope	38	33	$852.00	$159.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	31	$106.69	$36.41
76770 Complete ultrasound scan behind abdominal cavity	34	34	$234.00	$74.45
84403 Testosterone (hormone) level, total	32	30	$82.00	$28.11
51702 Simple insertion of temporary bladder tube	30	16	$212.00	$57.92
76000 Imaging guidance for procedure, 60 minutes or less	30	29	$128.00	$14.68
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	15	$90.00	$28.72
82565 Blood creatinine level	27	27	$14.44	$5.58
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$224.54	$95.83
51701 Insertion of temporary bladder tube	24	22	$216.00	$42.02
74178 Ct scan of abdomen and pelvis before and after contrast	20	20	$796.00	$261.65
50590 Shock wave crushing of kidney stones	19	18	$1975.00	$523.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$346.00	$137.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$255.00	$101.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$48.00	$21.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,000	18	$1.67	$0.12
81003 Automated urinalysis test	700	457	$16.00	$2.65
99213 Established patient office or other outpatient visit, typically 15 minutes	367	277	$170.45	$68.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	367	267	$253.31	$100.01
51798 Ultrasound measurement of bladder capacity after voiding	307	214	$63.10	$14.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$389.41	$152.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	84	$187.61	$68.30
52000 Diagnostic exam of bladder and urethra using an endoscope	97	95	$517.35	$77.28
36415 Insertion of needle into vein for collection of blood sample	94	60	$11.00	$2.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	44	$104.71	$40.74
84153 Psa (prostate specific antigen) measurement, total	78	52	$68.05	$22.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	59	$251.03	$74.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	41	$98.39	$37.10
76000 Imaging guidance for procedure, 60 minutes or less	53	46	$126.04	$8.20
51741 Electronic assessment of bladder emptying	52	52	$172.79	$7.30
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	51	51	$853.22	$286.35
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	51	51	$418.82	$32.09
51797 Insertion of device into abdomen with pressure and urine flow rate study	49	49	$534.14	$102.66
52000 Diagnostic exam of bladder and urethra using an endoscope	48	42	$518.38	$154.19
74018 X-ray of abdomen, 1 view	48	43	$37.56	$16.26
76770 Complete ultrasound scan behind abdominal cavity	47	46	$231.17	$69.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$324.13	$129.19
52287 Exam with injections of chemical for destruction of bladder using an endoscope	39	30	$841.74	$160.71
99213 Established patient office or other outpatient visit, typically 15 minutes	38	30	$170.37	$47.81
99221 Initial hospital inpatient care per day, typically 30 minutes	32	32	$219.19	$95.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$250.80	$100.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$343.39	$128.16
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	20	$1297.20	$397.50
82565 Blood creatinine level	20	19	$14.00	$6.20
50590 Shock wave crushing of kidney stones	19	18	$1962.79	$521.47
51702 Simple insertion of temporary bladder tube	17	12	$208.47	$59.45
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	17	$1348.53	$96.78
74178 Ct scan of abdomen and pelvis before and after contrast	15	15	$782.20	$226.02
74176 Ct scan of abdomen and pelvis without contrast	14	13	$469.00	$103.07
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	14	$834.71	$229.81
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$837.46	$143.74
51701 Insertion of temporary bladder tube	12	11	$211.50	$43.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,875	27	$1.67	$0.12
81003 Automated urinalysis test	728	470	$16.00	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	499	344	$249.00	$99.00
51798 Ultrasound measurement of bladder capacity after voiding	418	289	$62.00	$16.88
99213 Established patient office or other outpatient visit, typically 15 minutes	403	297	$168.00	$67.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$383.00	$151.44
52000 Diagnostic exam of bladder and urethra using an endoscope	126	118	$509.00	$95.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	95	83	$185.00	$67.85
36415 Insertion of needle into vein for collection of blood sample	90	63	$11.00	$2.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	51	$103.00	$40.32
84153 Psa (prostate specific antigen) measurement, total	69	51	$67.00	$24.48
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	67	67	$839.00	$287.42
51797 Insertion of device into abdomen with pressure and urine flow rate study	66	66	$525.00	$102.20
51741 Electronic assessment of bladder emptying	65	65	$170.00	$7.30
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	62	62	$412.00	$32.13
74000 X-ray of abdomen, single view	54	34	$52.00	$12.91
52000 Diagnostic exam of bladder and urethra using an endoscope	54	45	$509.00	$147.12
76000 Imaging guidance for procedure, 60 minutes or less	49	44	$124.00	$8.09
51705 Removal of skin suture with change of bladder tube	45	11	$247.00	$84.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	39	$97.00	$37.00
99221 Initial hospital inpatient care per day, typically 30 minutes	42	39	$216.00	$94.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$248.00	$99.73
51702 Simple insertion of temporary bladder tube	38	15	$206.00	$57.84
76770 Complete ultrasound scan behind abdominal cavity	37	36	$227.00	$69.52
52287 Exam with injections of chemical for destruction of bladder using an endoscope	36	29	$827.00	$151.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$319.00	$128.86
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$168.00	$48.01
82565 Blood creatinine level	28	28	$14.00	$6.89
74178 Ct scan of abdomen and pelvis before and after contrast	26	25	$773.00	$227.84
50590 Shock wave crushing of kidney stones	22	22	$1917.00	$535.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$336.00	$129.71
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	18	$47.00	$18.66
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	21	11	$87.00	$29.66
51701 Insertion of temporary bladder tube	19	17	$210.00	$43.78
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	16	$1282.00	$388.25
76872 Ultrasound scan of pelvic region through rectum	17	16	$328.00	$32.31
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	14	$1325.00	$91.73
74176 Ct scan of abdomen and pelvis without contrast	14	13	$464.00	$102.21
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$824.00	$138.09

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NE 23778

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License WI 44887

Urology

NUCC Taxonomy Code: 208800000X

State License IA 36776

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare

098396 (NE)

Practice Associates & Co-Workers

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

20 Associated Practitioners

Chrystal Rees

Nurse Practitioner - Family

NPI 1013830868

Ashlee Au , APRN, FNP-C

Nurse Practitioner - Family

NPI 1033843669

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Caleb Miller , MD

Urology

NPI 1093379562

Doctor of Medicine (M.D.)

Dr. Charles Wakefield , MD

Urology

NPI 1215151543

Doctor of Medicine (M.D.)

Donalee Kennedy , APRN

Nurse Practitioner

NPI 1235326877

Advanced Practice Registered Nurse

Michaela Duggan , PA

Physician Assistant - Surgical

NPI 1245535939

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 27, 2013

Registered at 10707 PACIFIC ST, SUITE 101, OMAHA, NE 681144762 (Tel: 4023977989)

📍

Updated Business Mailing Address March 27, 2013

Registered at PO BOX 8577, OMAHA, NE 681080577 (Tel: 4023977989)

👤

Provider Name / Credentials Updated March 27, 2013

Recorded as STEFANIE BOLTE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2013

Urology (License #23778 in NE)

🟢

Initial NPI Registration & Enumeration May 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104877018

Entity Type:

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

Enumeration Date: May 15, 2006

Last Update: March 27, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 8577

Omaha, NE 681080577

Phone: 4023977989

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

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