James Michael Mooney, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2056 Issued in NE

Practice address

312 Olson Dr
Papillion, NE 68046-2978

Phone

(402) 933-6300

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VWB LLCGroup PAC ID 7113349895, 9 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• VWB LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1154943835

  NE

  Medicare reassignment Care Compare group
• American Current Care of Nebraska PC

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1528245727

  NE

  Medicare reassignment NPD
• Premier Urgent Care/Family Care of Nebraska LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1619354511
  NPD (past)
• Neurology Clinic of Central Arkansas

  • Sleep Disorder Diagnostic Clinic/Center
  • Little Rock, AR
  • NPI 1851494074
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1114149093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 OLSON DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462978",
            "telephone_number": "402-933-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 OLSON DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462978",
            "telephone_number": "402-933-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA326",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "2056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila M Molczyk, OT
• Joaquin A Moncada Briseno
• Maria Marcela Montalvo
• Robin Montgomery
• Ian G Mooney
• Becki Moore
• Kavin Duane Moore, HIS
• Megan A Moore
• Savana Moore
• Bonnie Morales

• All providers in Papillion, NE
• Medical Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.