Charles Drew Health Center Inc
A Medicare group practice based in Omaha, NE: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 9830170653), with 69 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9830170653
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- NE
- Enrollments
- 13
- Group size
- 13 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 27
Enrollment records 13
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20161215001838 | NE | Part A Provider - Federally Qualified Health Center (FQHC) | 1932493822 |
| O20121008000071 | NE | Part A Provider - Federally Qualified Health Center (FQHC) | 1720335284 |
| O20120731000017 | NE | Part A Provider - Federally Qualified Health Center (FQHC) | 1811260219 |
| O20120731000043 | NE | Part A Provider - Federally Qualified Health Center (FQHC) | 1629385331 |
| O20120731000046 | NE | Part A Provider - Federally Qualified Health Center (FQHC) | 1285941997 |
| O20120731000357 | NE | Part A Provider - Federally Qualified Health Center (FQHC) | 1639486343 |
| O20211118001431 | NE | Part A Provider - Federally Qualified Health Center (FQHC) | 1962089391 |
| O20190307000230 | NE | Part A Provider - Federally Qualified Health Center (FQHC) | 1154895225 |
| O20190422000563 | NE | Part A Provider - Federally Qualified Health Center (FQHC) | 1629530373 |
| O20251118004543 | NE | Part A Provider - Federally Qualified Health Center (FQHC) | 1215767421 |
| O20240607002244 | NE | Part A Provider - Federally Qualified Health Center (FQHC) | 1477254415 |
| O20040527000621 | NE | Part B Supplier - Clinic/Group Practice | 1255302170 |
| O20080819000723 | NE | Part A Provider - Federally Qualified Health Center (FQHC) | 1255302170 |
NPIs in this group 12
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Charles Drew Health Center Inc
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1154895225
-
Charles Drew Health Center Inc
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1477254415
-
Charles Drew Health Center Inc
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1629530373
-
Charles Drew Health Center Inc
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1932493822
-
Charles Drew Health Center, Inc
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1255302170
-
Charles Drew Health Center, Inc
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1285941997
-
Charles Drew Health Center, Inc
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1629385331
-
Charles Drew Health Center, Inc
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1639486343
-
Charles Drew Health Center, Inc
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1720335284
-
Charles Drew Health Center, Inc
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1811260219
-
Charles Drew Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1215767421
-
Charles Drew Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1962089391
Practice locations
- Omaha, NE27
Clinicians 69
Clinicians who reassign their Medicare benefits to this group (68) or whom Care Compare lists as members (13).
-
Souhel Askar
- Dentist
- Lincoln, NE
- NPI 1578931457
-
Brenda Irene Avant, APRN
- Family Nurse Practitioner
- Omaha, NE
- NPI 1275737058
-
Antoinette Lynn Bell
- Mental Health Counselor
- Omaha, NE
- NPI 1497949291
-
Deyanna Boston, M.D.
- Family Medicine Physician
- Omaha, NE
- NPI 1689100539
-
John W Brady, MD
- Family Medicine Physician
- Omaha, NE
- NPI 1346241197
-
Camille D Brewer, APRN
- Family Nurse Practitioner
- Omaha, NE
- NPI 1740395219
-
Sydney A Buckland, APRN
- Nurse Practitioner
- Omaha, NE
- NPI 1104828326
-
Molly E Cawley, D.D.S
- Dentist
- Omaha, NE
- NPI 1992110696
-
Carmen Cooks, LIMHP
- Mental Health Counselor
- Omaha, NE
- NPI 1760864243
-
Mark Alan Darby I, MSN
- Family Nurse Practitioner
- Omaha, NE
- NPI 1851812309
-
Leslie Irene Dvorak, APRN
- Women's Health Nurse Practitioner
- Omaha, NE
- NPI 1265422562
-
Theresa Margaret Evans, APRN NP
- Nurse Practitioner
- Council Bluffs, IA
- NPI 1477012029
-
Taliat Abiodun Fawole, M.D
- Psychiatry Physician
- Elmhurst, NY
- NPI 1255795886
-
Tiffany Danielle Felder, FNP
- Family Nurse Practitioner
- Papillion, NE
- NPI 1407381478
-
Alyssa Marie Fischer, CNM
- Advanced Practice Midwife
- Omaha, NE
- NPI 1619480761
-
Jack Formanek, MS, LMHP
- Mental Health Counselor
- Council Bluffs, IA
- NPI 1285791376
-
Bobbie Jean Fowler, DDS
- General Practice Dentistry
- Omaha, NE
- NPI 1750173928
-
Betty Mwende Gitari
- Addiction (Substance Use Disorder) Counselor
- Omaha, NE
- NPI 1316766249
-
Christopher M Glowacki, M.D.
- Obstetrics & Gynecology Physician
- Omaha, NE
- NPI 1225232119
-
Kelly Gonzales, FNP
- Family Nurse Practitioner
- Omaha, NE
- NPI 1669887584
-
Carla Habrich, LIMHP, CPC, LADC
- Mental Health Counselor
- Omaha, NE
- NPI 1558817759
-
Matthew Allan Halfar, MD
- Family Medicine Physician
- Tualatin, OR
- NPI 1184916744
-
John Hallgren, M.D.
- Family Medicine Physician
- Omaha, NE
- NPI 1710973029
-
Co Thi Ho, M.D.
- Family Medicine Physician
- Orangeburg, SC
- NPI 1912317694
-
Morgan Horst, DDS
- Dentist
- Omaha, NE
- NPI 1952830531
-
Melissa Lynn Howey, APRN
- Family Nurse Practitioner
- Omaha, NE
- NPI 1194238378
-
Soonjo Hwang, M.D.
- Psychiatry Physician
- Valhalla, NY
- NPI 1780852111
-
Traci Lyn Jenkins, APRN, FNP-C
- Primary Care Nurse Practitioner
- Macy, NE
- NPI 1881927655
-
Puja Kandel, APRN
- Nurse Practitioner
- Omaha, NE
- NPI 1861278533
-
Claire Christine Koukol, DDS
- Dentist
- Omaha, NE
- NPI 1699296707
-
Abigail Lechner
- Women's Health Nurse Practitioner
- Omaha, NE
- NPI 1841800505
-
Victoria Noel Lussier, DO
- Family Medicine Physician
- Omaha, NE
- NPI 1386386704
-
Elvia Fabiola Marquez, PLADC
- Addiction (Substance Use Disorder) Counselor
- Bellevue, NE
- NPI 1194396622
-
Ashley Marreel, APRN
- Family Nurse Practitioner
- Omaha, NE
- NPI 1114301439
-
Megha Mathur
- Dentist
- Gretna, NE
- NPI 1962397232
-
Aaron McCoy, DDS
- General Practice Dentistry
- Lincoln, NE
- NPI 1295228740
-
Shanon Grace McLeay, APRN-NP
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
- NPI 1063190478
-
Michael Menendez
- Mental Health Counselor
- Omaha, NE
- NPI 1326654377
-
Erin Ruth Merrell, APRN
- Family Nurse Practitioner
- Omaha, NE
- NPI 1992214076
-
Melissa O'Dell, M.D.
- Psychiatry Physician
- Omaha, NE
- NPI 1588030092
-
Gregory U. Ochuba, MD, PHD
- Internal Medicine Physician
- Omaha, NE
- NPI 1598870057
-
William J Ostdiek, MD
- Family Medicine Physician
- Omaha, NE
- NPI 1477603470
-
Jenna Palmer, D.D.S.
- Dentist
- Farmington, MN
- NPI 1952781346
-
Arlana R Phillips, MD
- Pediatric Adolescent Medicine Physician
- Omaha, NE
- NPI 1952418022
-
Lydia Kay Pyle, FNP
- Nurse Practitioner
- Greeley, CO
- NPI 1699094037
-
Jyotsna S Ranga, M.D.
- Psychiatry Physician
- Omaha, NE
- NPI 1578666988
-
Nishavini Ranpatabendi, PA-C
- Physician Assistant
- Omaha, NE
- NPI 1790110898
-
Safia Rauf, DDS
- General Practice Dentistry
- Fresno, CA
- NPI 1235821182
-
Benjamin Kneale Reimer, DDS
- Dentist
- Omaha, NE
- NPI 1821584566
-
Ashlynn U Samuel, LIMHP
- Mental Health Counselor
- Omaha, NE
- NPI 1881073534
-
Brooke Sciuto, MD
- Family Medicine Physician
- Omaha, NE
- NPI 1689992737
-
Kathleen D Scott, CNM
- Advanced Practice Midwife
- Omaha, NE
- NPI 1396996005
-
Varun Sharma, M.D.
- Child & Adolescent Psychiatry Physician
- Philadelphia, PA
- NPI 1407137441
-
Eric Michael Sherman, M.D.
- Pediatric Endocrinology Physician
- Offutt Afb, NE
- NPI 1831119502
-
Bryan John Skar, D.D.S.
- Dentist
- Omaha, NE
- NPI 1417185141
-
Christy S Storm, APRN
- Community Health Nurse Practitioner
- Omaha, NE
- NPI 1407131543
-
Sheritta Ann Strong, M.D.
- Psychiatry Physician
- Omaha, NE
- NPI 1437231800
-
Emily Strunk, DDS
- Dentist
- Omaha, NE
- NPI 1134772551
-
Katie Sunde, APRN
- Family Nurse Practitioner
- Omaha, NE
- NPI 1346797792
-
Alexandria Rae Sutton, PA-C
- Physician Assistant
- Omaha, NE
- NPI 1154933992
-
Rebecca K Swanson, APRN
- Pediatric Nurse Practitioner
- Omaha, NE
- NPI 1295014298
-
Stefanie Till, APRN
- Family Nurse Practitioner
- Council Bluffs, IA
- NPI 1215589395
-
Joy Tindell, APRN, FNP
- Nurse Practitioner
- Gretna, NE
- NPI 1568144509
-
Jillian Alexandra Wallen, B.D.S.
- Pediatric Dentistry
- Omaha, NE
- NPI 1750555793
-
Madeline J West, MD
- Child & Adolescent Psychiatry Physician
- Omaha, NE
- NPI 1285686212
-
Shelina S Williams, MS, LIMHP, LADC
- Mental Health Counselor
- Omaha, NE
- NPI 1437277613
-
Diva Viteare Wilson, MD
- Family Medicine Physician
- Gretna, NE
- NPI 1821595877
-
Neissa Yacoubou-Coulibaly, APRN
- Family Medicine Physician
- Omaha, NE
- NPI 1013690627
-
Sara Kathryn Zachman, MD, MPH
- Psychiatry Physician
- Omaha, NE
- NPI 1245687201
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.