Individual provider Active NPI

Joseph A. Stangl, P.A.

  • Physician Assistant
  • Bellevue, NE
National Provider Identifier
1013012491
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
415 Issued in NE
Practice address
3802 Raynor Pkwy
Bellevue, NE 68123-6048
Phone
(402) 280-3550
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 415 NE Primary

Addresses

Primary practice location

3802 Raynor Pkwy
Bellevue, NE 68123-6048

Mailing address

PO Box 2159
Omaha, NE 68103-2159
Phone (402) 280-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000726 NE Practitioner - Physician Assistant 4183782592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

16909 Lakeside Hills CT
Omaha, NE 68130-4661

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Sep 1, 2012 Accepting new patients
Creighton University Past Accepting new patients
Alegent Creighton Clinic Physician Assistant Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

3308 Samson Way
Ste 101
Bellevue, NE 68123
Phone (402) 291-3373

3802 Raynor Pkwy
Bellevue, NE 68123
Phone (402) 280-3550

4508 38th St
Ste 157
Columbus, NE 68601
Phone (402) 280-4497

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7909 N 30th St
Omaha, NE 68112
Phone (402) 280-4780

10828 John Galt Blvd
Omaha, NE 68137
Phone (402) 592-4400

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

Interoperability endpoints

  • Direct secure messaging: jstangl46880@achce.catholichealth.net

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1013012491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2159",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681032159",
            "telephone_number": "402-280-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 RAYNOR PKWY",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236048",
            "telephone_number": "402-280-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGL",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.