Nicolas R Eller, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2631 Issued in NE

Practice address

8200 Dodge St
Omaha, NE 68114-4113

Phone

(402) 955-7400

Fax

(402) 955-7405

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By 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 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Omaha, NE, CCN 287132
• Annie Jeffrey Memorial County Health Center Hospital, Osceola, NE, CCN 281314
• The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
• York General Health Care Services Hospital, York, NE, CCN 281336

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Twin Rivers Urgent Care LLC

  • Family Medicine Physician
  • Grand Island, NE
  • NPI 1639248560
  Medicare reassignment NPD
• David Bryce Jameson, MD

  • Family Medicine Physician
  • Stromsburg, NE
  • NPI 1083616502
  Medicare reassignment
• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  Medicare reassignment
• Twin Rivers Urgent Care LLC

  dba Twin Rivers Sports & Family Medicine

  • Family Medicine Physician
  • Grand Island, NE
  • NPI 1588310338
  NPD
• David Jameson

  dba Prairie Creek Family Medicine

  • Family Medicine Physician
  • Stromsburg, NE
  • NPI 1316240815
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Annie Jeffrey Memorial County Health Center

  • Critical Access Hospital
  • Osceola, NE
  • NPI 1336243559
  Care Compare affiliation
• Midwest Home Health Inc

  dba Angels Care Home Health

  • Home Health Agency
  • Omaha, NE
  • NPI 1467582148
  Care Compare affiliation
• The Nebraska Medical Center

  dba The Nebraska Medical Center - Nebraska Medicine

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356307581
  Care Compare affiliation
• York General Hospital

  • Critical Access Hospital
  • York, NE
  • NPI 1588764898
  Care Compare affiliation

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1093387649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24607",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681240607",
            "telephone_number": "402-955-5400",
            "fax_number": "402-955-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144113",
            "telephone_number": "402-955-7400",
            "fax_number": "402-955-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "NICOLAS",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NE",
            "license": "2631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Leigh Elkins, PLMHP
• Johnny Ellebb
• Jeanne Ellefson, MS, CCC-SLP
• Jennifer Ann Eller
• Kady N Eller
• Rachael Lyn Eller, RD, LMNT
• Claire Elley
• Daniel L Ellingson, D.D.S.
• Leslie Ellingson, D.D.S., M.S.
• Ashley Ellington

• Surgical Physician Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Surgical Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.