Individual provider Active NPI

Summer C Stanton

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1023505815
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2658 Issued in NE
Practice address
7710 Mercy Rd Ste 1000
Omaha, NE 68124-2323
Phone
(402) 717-2500
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 110881 IA
Physician Assistant 363A00000X 2658 NE Primary

Addresses

Primary practice location

7710 Mercy Rd Ste 1000
Omaha, NE 68124-2323

Mailing address

6203 Kentucky Rd
Papillion, NE 68133-2372
Phone (402) 320-0196

Other practice location 1

6203 Kentucky Rd
Papillion, NE 68133-2372
Phone (402) 320-0196

Other practice location 2

13322 I St
Omaha, NE 68137-1111
Phone (402) 230-5861

Other practice location 3

1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone (402) 717-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211022000780 NE Practitioner - Physician Assistant 5395133425 Reassigns benefits to 1 organization
I20211022000873 IA Practitioner - Physician Assistant 5395133425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

16909 Lakeside Hills CT
Omaha, NE 68130-4661

6901 N 72ND St
Omaha, NE 68122-1709

800 Mercy Dr
Council Bluffs, IA 51503-3128

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2658NEMDSchool Social Worker
110881IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Nov 1, 2021 Accepting new patients
Alegent Creighton Clinic CurrentSince Nov 1, 2021 Accepting new patients
Alegent Creighton Clinic Physician Assistant Past Accepting new patients
Cohrs Behavioral Consulting, LLC Past Accepting new patients

Locations

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

7710 Mercy Rd
Ste 1000
Omaha, NE 68124
Phone (402) 717-2500

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

Organizations & group practices 4

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 6

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1023505815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6203 KENTUCKY RD",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681332372",
            "telephone_number": "402-320-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD STE 1000",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242323",
            "telephone_number": "402-717-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6203 Kentucky Rd",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "681332372",
            "country_code": "US",
            "telephone_number": "402-320-0196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13322 I St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681371111",
            "country_code": "US",
            "telephone_number": "402-230-5861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1288 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515035245",
            "country_code": "US",
            "telephone_number": "402-717-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANTON",
        "first_name": "SUMMER",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "110881",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.