Marcia Marie Malone , APRN
Nurse Practitioner โข Omaha, NE
5045 S 153rd St
Omaha, NE 68137
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 21, 2020; this date does not establish years in practice.
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Published CMS data list 992 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- G0108 โ Diabetes outpatient self-management training services, individual, per 30 minutes: 528 service units.
- 99214 โ Established patient outpatient office visit: 162 service units.
- 95251 โ Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report: 110 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 7 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,181 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ozempic (Semaglutide) โ 162 prescription fills, including refills.
- Mounjaro (Tirzepatide) โ 96 prescription fills, including refills.
- Lantus Solostar (Insulin Glargine,hum.Rec.Anlog) โ 85 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 28 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Omaha, NE (2024, 275 clinicians with data). Median for this group: 162. Middle half: 49 to 367.
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Nebraska (2024, 493 clinicians with data). Median for this group: 182. Middle half: 61 to 472.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 60 in 2021 to 992 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
5045 S 153rd St
Omaha, NE 68137
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Alegent Creighton Clinic. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2019
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
290 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $52,630 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $37,700 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
1,950 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$765,834 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,282.31 across 52 records.
By nature of payment
- Food and Beverage: $1,282.31 across 52 records.
Reporting-company totals (3 largest of 17)
- Novo Nordisk Inc: $333.92 across 15 records.
- Corcept Therapeutics: $278.05 across 7 records.
- AstraZeneca Pharmaceuticals LP: $162.98 across 6 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
7 years (graduated 2019)
CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Marcia Malone has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Marcia Malone as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Omaha and Nebraska
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Omaha, NE (2024, 275 clinicians with data). Median for this group: 162. Middle half: 49 to 367.
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Nebraska (2024, 493 clinicians with data). Median for this group: 182. Middle half: 61 to 472.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Omaha, NE (2024, 275 clinicians with data). Median for this group: $12,010. Middle half: $4,278 to $25,425.
A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Nebraska (2024, 493 clinicians with data). Median for this group: $13,384. Middle half: $4,892 to $30,603.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Omaha, NE (2024, 275 clinicians with data). Median for this group: $8,874. Middle half: $3,192 to $18,732.
A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Nebraska (2024, 493 clinicians with data). Median for this group: $9,924. Middle half: $3,657 to $22,791.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Omaha, NE (2024, 249 clinicians with data). Median for this group: 161. Middle half: 57 to 539.
More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Nebraska (2024, 499 clinicians with data). Median for this group: 240. Middle half: 71 to 871.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Omaha, NE (2024, 249 clinicians with data). Median for this group: $6,463. Middle half: $654 to $71,999.
A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Nebraska (2024, 499 clinicians with data). Median for this group: $11,995. Middle half: $823 to $90,248.
553 active clinicians are listed under Nurse Practitioner with a practice address in Omaha, NE (987 in Nebraska).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Omaha
9% of these 553 clinicians have the CMS telehealth indicator.
61.8% of these 553 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 1553% from 60 in 2021 to 992 in 2024.
- 2021: 60
- 2022: 131
- 2023: 738
- 2024: 992
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Medicare-allowed amount
Medicare-allowed amount increased 942% from $5,052 in 2021 to $52,630 in 2024.
- 2021: $5,052
- 2022: $7,611
- 2023: $42,134
- 2024: $52,630
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Paid by Medicare
Paid by Medicare increased 916% from $3,712 in 2021 to $37,700 in 2024.
- 2021: $3,712
- 2022: $5,347
- 2023: $31,924
- 2024: $37,700
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 314% from 285 in 2021 to 1,181 in 2024.
- 2021: 285
- 2022: 443
- 2023: 770
- 2024: 1,181
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30-day fills
30-day fills increased 405% from 386 in 2021 to 1,950 in 2024.
- 2021: 386
- 2022: 755
- 2023: 1,336
- 2024: 1,950
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Part D drug cost
Part D drug cost increased 328% from $179,067 in 2021 to $765,834 in 2024.
- 2021: $179,067
- 2022: $365,047
- 2023: $567,358
- 2024: $765,834
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 11% from $1,446.37 in 2021 to $1,282.31 in 2025.
- 2021: $1,446.37
- 2022: $1,643.88
- 2023: $1,666.16
- 2024: $1,233.89
- 2025: $1,282.31
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 52 records totaling $1,282.31.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $120.15 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
|
Korlym | General | $120.14 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
FARXIGA | General | $81.59 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
|
Korlym | General | $68.84 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $63.66 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
|
Korlym | General | $60.12 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Veozah | General | $34.59 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
|
CAPVAXIVE | General | $33.63 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Veozah | General | $32.42 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $27.96 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
SPRAVATO | General | $26.91 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
TZIELD | General | $26.02 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $25.01 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
REXULTI | General | $24.12 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
FREESTYLE LIBRE 3 | General | $23.20 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
REXULTI | General | $22.86 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $22.35 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $21.89 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
FREESTYLE LIBRE 3 | General | $21.88 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
FREESTYLE LIBRE 3 | General | $21.25 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $20.56 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $19.97 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BREZTRI | General | $19.78 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
MOUNJARO | General | $19.07 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $18.90 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
G0108
Diabetes outpatient self-management training services, individual, per 30 minutes
|
528 | 201 | $156.00 | $50.30 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
162 | 81 | $360.00 | $99.28 |
|
95251
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
|
110 | 51 | $98.00 | $27.19 |
|
83036
Hemoglobin a1c level
|
105 | 57 | $24.00 | $9.52 |
|
36415
Insertion of needle into vein for collection of blood sample
|
38 | 31 | $7.00 | $6.86 |
|
99443
Telephone medical discussion with physician, 21-30 minutes
|
27 | 19 | $359.00 | $98.11 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
22 | 22 | $505.00 | $140.38 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ozempic | Semaglutide | 162 | 4,986 | $165,529.75 | 34 |
| Mounjaro | Tirzepatide | 96 | 3,052 | $111,879.46 | 15 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 85 | 3,765 | $11,322.68 | 21 |
| Farxiga | Dapagliflozin Propanediol | 81 | 3,920 | $72,542.24 | 16 |
| Jardiance | Empagliflozin | 74 | 3,444 | $64,818.29 | 16 |
| Tresiba Flextouch U-200 | Insulin Degludec | 59 | 2,900 | $62,425.34 | 12 |
| Novolog Flexpen | Insulin Aspart | 51 | 1,860 | $9,414.12 | 16 |
| Metformin Hcl | Metformin Hcl | 50 | 3,444 | $433.00 | 15 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 49 | 3,275 | $3,631.57 | 19 |
| Metformin Hcl Er | Metformin Hcl | 42 | 3,300 | $229.27 | 14 |
| Trulicity | Dulaglutide | 41 | 1,148 | $40,043.97 | โ |
| Omnipod 5 Dexg7g6 Pods (Gen 5) | Insulin Pump Cart,auto,bt,g6/7 | 41 | 1,960 | $47,886.85 | โ |
| Glipizide Er | Glipizide | 40 | 2,154 | $317.53 | โ |
| Pioglitazone Hcl | Pioglitazone Hcl | 34 | 1,630 | $131.76 | โ |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 29 | 1,074 | $39,647.33 | โ |
| Tresiba Flextouch U-100 | Insulin Degludec | 26 | 1,853 | $14,276.81 | 12 |
| Atorvastatin Calcium | Atorvastatin Calcium | 24 | 2,110 | $171.19 | โ |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 23 | 1,229 | $4,054.43 | โ |
| Rybelsus | Semaglutide | 22 | 1,020 | $31,444.61 | โ |
| Lyumjev Kwikpen U-100 | Insulin Lispro-Aabc | 22 | 1,156 | $18,638.57 | โ |
| Glimepiride | Glimepiride | 21 | 1,940 | $196.77 | โ |
| Humalog | Insulin Lispro | 20 | 929 | $5,963.90 | โ |
| Glyxambi | Empagliflozin/Linagliptin | 17 | 618 | $13,234.76 | โ |
| Ropinirole Hcl | Ropinirole Hcl | 15 | 607 | $290.46 | โ |
| Humalog Kwikpen U-100 | Insulin Lispro | 15 | 798 | $4,002.84 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-05-21NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20200723002317
NE
6507280526
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Alegent Creighton Clinic
4220 L St, Omaha, NE 681071048
Phone: 4027334433
Alegent Creighton Clinic
5045 S 153rd St, Omaha, NE 681375001
Phone: 4027179100
Alegent Creighton Clinic
8248 S 96th St, La Vista, NE 681283126
Phone: 4027179500
Alegent Creighton Clinic
16909 Lakeside Hills Ct, Omaha, NE 681304661
Alegent Creighton Clinic
2530 Sheridan Ave, Grand Island, NE 688031903
Phone: 3083985522
Alegent Creighton Clinic
7710 Mercy Rd, Omaha, NE 681242350
Phone: 4023438650
Alegent Creighton Clinic
211 W 33rd St, Kearney, NE 688453484
Phone: 3088652141
Alegent Creighton Clinic
16101 Evans St, Omaha, NE 681166447
Phone: 4027179700
Alegent Creighton Clinic
8613 N 30th St, Omaha, NE 681121800
Phone: 4024539900
Alegent Creighton Clinic
6801 Newport Ave, Omaha, NE 681522152
Phone: 4025723900
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History
NPI enumerated May 21, 2020.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from June 2020 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Omaha
- Michelle Pavlish, APRN
- Amber Mccurdy, APRN
- Hoa Nguyen, APRN-NP
- Katharine Glantz, APRN
- Courtney Higgins
- Suzie Mccann, NP
Mailing Address
7261 Mercy Rd
Omaha, NE 681242311