Active NPI
Marty Paul Ussery Jr., PA-C
- Physician Assistant
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 515 N 162ND Ave Ste 300
Omaha, NE 68118-2540 - Phone
- (402) 354-1200
- Fax
- (402) 354-1205
- NPI assigned
- Jul 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
515 N 162ND Ave Ste 300
Omaha, NE 68118-2540
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Edmundson PL
Council Bluffs, IA 51503-4658
Phone (712) 396-4000
10707 Pacific St
Omaha, NE 68114-4762
111 /2 S 90TH St
Pacific Surg East
Omaha, NE 68114-3907
Phone (402) 397-7178
111 S 90TH St
Urohealth Partners
Omaha, NE 68114-3907
Phone (402) 397-9800
2301 Eastern Ave
Montgomery Co Hosp
Red Oak, IA 51566-1300
Phone (712) 623-7000
515 N 162ND Ave
Suite 300
Omaha, NE 68118-2540
Phone (402) 393-6624
8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000
Hospital & facility affiliations
- The Nebraska Methodist Hospital
- Methodist Jennie Edmundson
- CHI Health Lakeside
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3086 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Physician Assistant | Current | Accepting new patients |
| Urology Center PC | Current | Accepting new patients | |
| Urology Center PC | Current | Accepting new patients |
Locations
1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801
1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000
3434 W Broadway
Ste 102
Council Bluffs, IA 51501
Phone (712) 325-0014
2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
105 S 90th St
Omaha, NE 68114
Phone (402) 397-9800
10707 Pacific St
Ste 101
Omaha, NE 68114
515 N 162nd Ave
Ste 300
Omaha, NE 68118
Phone (402) 354-1200
111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178
Interoperability endpoints
- https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Omaha, NE
- NPI 1114919875
-
- Urology Physician
- Red Oak, IA
- NPI 1053488395
-
- Durable Medical Equipment & Medical Supplies
- Fremont, NE
- NPI 1851126643
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1003540154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N 162ND AVE STE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182540",
"telephone_number": "402-354-1200",
"fax_number": "402-354-1205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USSERY",
"first_name": "MARTY",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-14",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.