Papillion Family Medicine P C

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PAPILLION FAMILY MEDICINE P C

Practice address

555 Fortune Dr
Papillion, NE 68046-3421

Phone

(402) 502-3600

Fax

(402) 502-3606

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert G Naegele, M.D.NPI 1356346084

Title

President

Phone

(402) 502-3600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert G Naegele, M.D.

  • Family Medicine Physician
  • Papillion, NE
  • NPI 1356346084
  Medicare reassignment Care Compare group NPD Authorized official
• Sophie Ann Gengenbach

  • Physician Assistant
  • Papillion, NE
  • NPI 1336987213
  Medicare reassignment Care Compare group NPD
• Edward M Mantler, M.D.

  • Family Medicine Physician
  • Papillion, NE
  • NPI 1811926041
  Medicare reassignment Care Compare group NPD
• Madeline Pearl Olson, PA-C

  • Physician Assistant
  • Papillion, NE
  • NPI 1184485583
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1083643258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FORTUNE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463421",
            "telephone_number": "402-502-3600",
            "fax_number": "402-502-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FORTUNE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463421",
            "telephone_number": "402-502-3600",
            "fax_number": "402-502-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPILLION FAMILY MEDICINE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "NAEGELE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-502-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Papillion Chiropractic, P.C.
• Papillion Christian Center, Inc
• Papillion Emergency Physicians, PLLC
• Papillion Eye Surgical Center, Inc
• Papillion Family Hospital, LLC
• Papillion la Vista Community Schools
• Papillion Manor Inc
• Papillion Optical, Inc.
• Papillion Pediatric Dentistry, PC
• Papillion Physical Medicine, P.C.

• Clinic/Center in Papillion, NE
• Providers in Papillion, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.