Organization Active NPI

McGill Family Practice PC

  • Family Medicine Physician
  • Papillion, NE
National Provider Identifier
1083788103
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20633 Issued in NE
Legal business name
MCGILL FAMILY PRACTICE PC
Practice address
1502 S Washington St
Ste 201
Papillion, NE 68046-3136
Phone
(402) 505-9657
Fax
(402) 505-9658
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Jayci Foster, MA
Title
Office Manager
Phone
(402) 505-9657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 20633 NE Primary

Addresses

Primary practice location

1502 S Washington St
Ste 201
Papillion, NE 68046-3136

Mailing address

2063 Creek Side Dr Ste 115
Papillion, NE 68046-5103
Phone (402) 505-9657

Other identifiers 1

IdentifierTypeStateIssuer
10025060800MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040517001224 NE Part B Supplier - Clinic/Group Practice 7719977024 Receives reassigned benefits from 2 practitioners
Practice locations: Papillion, NE

National Provider Directory

National Provider Directory

Locations

4530 Dewey Ave
Omaha, NE 68198

1502 S Washington St
Ste 210
Papillion, NE 68046

2063 Creek Side Dr
Ste 115
Papillion, NE 68046
Phone (402) 505-9657

1502 S Washington St
#210
Papillion, NE 68046

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1083788103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 CREEK SIDE DR STE 115",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465103",
            "telephone_number": "402-505-9657",
            "fax_number": "402-505-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S WASHINGTON ST",
            "address_2": "STE 201",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463136",
            "telephone_number": "402-505-9657",
            "fax_number": "402-505-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGILL FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "JAYCI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-505-9657",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "20633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025060800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.