Active NPI
Stephen P Moessner, M.D.
- Anesthesiology Physician
- Omaha, NE
National Provider Identifier
1104908219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 16467
- Practice address
- 11704 W Center Rd Ste 110
Omaha, NE 68144-4327 - Phone
- (402) 691-1575
- Fax
- (402) 341-8565
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 16467 | NE | Primary |
Addresses
Primary practice location
11704 W Center Rd Ste 110
Omaha, NE 68144-4327
Mailing address
11704 W Center Rd Ste 110
Omaha, NE 68144-4327
Phone (402) 691-1575
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6910141 | Medicaid | IA | |
| 01573 | Other | NE | BCBS |
| 10025014200 | Medicaid | NE |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Nebraska College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11704 W Ctr Rd
Suite 110
Omaha, NE 68144-4327
Phone (402) 212-0847
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Anesthesia Services PC | Anesthesiology | Current | Accepting new patients |
| Private Anesthesia Associates, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
4239 Farnam St
Ste 502
Omaha, NE 68131
Phone (402) 552-2886
11704 W Center Rd
Ste 110
Omaha, NE 68144
Phone (402) 212-0847
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.
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1356468383
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1699837682
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1629001292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1104908219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11704 W CENTER RD STE 110",
"city": "OMAHA",
"state": "NE",
"postal_code": "681444327",
"telephone_number": "402-691-1575",
"fax_number": "402-341-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11704 W CENTER RD STE 110",
"city": "OMAHA",
"state": "NE",
"postal_code": "681444327",
"telephone_number": "402-691-1575",
"fax_number": "402-341-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOESSNER",
"first_name": "STEPHEN",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NE",
"license": "16467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6910141",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01573",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025014200",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.