Individual provider Active NPI

Jessica A Mulcahy, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1053883645
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2292 Issued in NE
Practice address
8901 Indian Hills Dr Ste 200
Omaha, NE 68114-4032
Phone
(402) 397-7057
NPI assigned
Dec 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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 2292 NE Primary

Addresses

Primary practice location

8901 Indian Hills Dr Ste 200
Omaha, NE 68114-4032

Mailing address

8901 Indian Hills Dr Ste 200
Omaha, NE 68114-4032
Phone (402) 397-7057

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
I20190212001746 NE Practitioner - Physician Assistant 4486992781 Reassigns benefits to 1 organization
I20211116002038 IA Practitioner - Physician Assistant 4486992781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Gastrointestinal Associates PCGroup PAC ID 3779575766, 54 clinicians

Practice addresses (Care Compare)

16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (402) 717-8000

17001 Lakeside Hills PLZ
Omaha, NE 68130-4670

2500 Bellevue Medical Ctr Dr
Bellevue, NE 68123-1591
Phone (402) 763-3600

808 E Pierce St
Suite 301
Council Bluffs, IA 51503-4603
Phone (712) 396-2997

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000

8901 Indian Hills Dr
Omaha, NE 68114-4032

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-6000

Hospital & facility affiliations

  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • Bellevue Medical Center Hospital, Bellevue, NE, CCN 280132
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2292NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Digestive Health Center LLC Past Accepting new patients
Jennie Edmundson Memorial Hospital Physician Assistant Past Accepting new patients

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 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": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1053883645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144032",
            "telephone_number": "402-397-7057",
            "fax_number": "402-397-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144032",
            "telephone_number": "402-397-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULCAHY",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.