Individual provider Active NPI

Jennifer Dwyer, M.D.

  • Urology Physician
  • Omaha, NE
National Provider Identifier
1033524640
Registry record updated Jul 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
7254 Issued in NE
Practice address
984110 Nebraska Medical Ctr
Omaha, NE 68198-4110
Phone
(402) 559-4284
NPI assigned
Jun 23, 2014
Last updated
Jul 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 7254 NE Primary

Addresses

Primary practice location

984110 Nebraska Medical Ctr
Omaha, NE 68198-4110

Mailing address

850 Fairacres Rd
Omaha, NE 68132-1837

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828001783 NE Practitioner - Urology 1658590799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Nebraska College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center PCGroup PAC ID 2961396833, 43 clinicians
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

111 S 90TH St
Urohealth Partners
Omaha, NE 68114-3907
Phone (402) 397-9800

2500 Bellevue Medical Ctr Dr
Bellevue, NE 68123-1591
Phone (402) 763-3035

Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Center PC Urology CurrentSince Aug 1, 2019 Accepting new patients
Unmc Physicians CurrentSince Sep 19, 2019 Accepting new patients
Urology Center PC Urology CurrentSince Aug 1, 2019 Accepting new patients

Locations

10707 Pacific St
Ste 101
Omaha, NE 68114
Phone (402) 397-9800

111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Networks

  • IA HMO C-SNP
  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • IA HMO
  • CO HMO C-SNP

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.dwyer.1@7144.direct.athenahealth.com
  • Direct secure messaging: jennifer.dwyer.p1@direct.tuc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437782400000",
    "number": "1033524640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 FAIRACRES RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681321837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984110 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681984110",
            "telephone_number": "402-559-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2015-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NE",
            "license": "7254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.