Clayton Jepsen Hoberman, DO

Primary specialty

Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X

License

687 Issued in NE

Practice address

1065 N 115TH St Ste 120
Omaha, NE 68154-4423

Phone

(402) 609-4818

NPI assigned

Sep 1, 2006

Last updated

Mar 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Siouxland NE Opco LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • South Sioux City, NE
  • NPI 1144043225

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• St Croix Hospice LLC

  dba St. Croix Hospice

  • Community Based Hospice Care Agency
  • Omaha, NE
  • NPI 1740553940

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• CNS Hospice LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • Troy, MI
  • NPI 1578830881

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• St Croix Hospice LLC

  dba St. Croix Hospice

  • Community Based Hospice Care Agency
  • Council Bluffs, IA
  • NPI 1871840975

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• STCH Moline Opco LLC

  • Community Based Hospice Care Agency
  • Moline, IL
  • NPI 1174357875

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Alegent Health Bergan Mercy Health System

  dba CHI Health

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1982773776
  NPD (past)
• Brookestone Meadows Inc

  • Skilled Nursing Facility
  • Elkhorn, NE
  • NPI 1043404718
  NPD (past)
• St Croix Hospice LLC

  dba St. Croix Hospice

  • Community Based Hospice Care Agency
  • Omaha, NE
  • NPI 1740553940

  Hospice and Palliative Medicine

  NPD (past)
• VSL Elkhorn LLC

  dba Brookestone Meadows

  • Skilled Nursing Facility
  • Elkhorn, NE
  • NPI 1134658719
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1073615209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 N 115TH ST STE 120",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544423",
            "telephone_number": "402-609-4818",
            "fax_number": "402-502-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 N 115TH ST STE 120",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544423",
            "telephone_number": "402-609-4818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7755 3rd St N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "MN",
            "postal_code": "551285461",
            "country_code": "US",
            "telephone_number": "855-278-2764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBERMAN",
        "first_name": "CLAYTON",
        "middle_name": "JEPSEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NE",
            "license": "687",
            "primary": false
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "KS",
            "license": "05-42170",
            "primary": false
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "IA",
            "license": "4020",
            "primary": false
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "WI",
            "license": "71820-21",
            "primary": false
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036-158166",
            "primary": false
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NE",
            "license": "687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy H Hoang
• Derrick Hobbs
• Marissa Hobbs
• Megan Hobbs, LCSW
• Cynthia M. Hobelman, PA-C
• Madison Hobscheidt
• Brenna M Hobson, APRN
• Lacey Hobus
• Addyson Rose Hobza
• Lisa Hobza

• Physical Medicine & Rehabilitation Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Medicine & Rehabilitation Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.