Individual provider Active NPI

Erin Peabody, PA-C

  • Plastic Surgery Physician
  • Omaha, NE
National Provider Identifier
1144056672
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
3154 Issued in NE
Practice address
9900 Nicholas St Ste 300
Omaha, NE 68114-2249
Phone
(402) 829-6384
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 3154 NE Primary

Addresses

Primary practice location

9900 Nicholas St Ste 300
Omaha, NE 68114-2249

Mailing address

9900 Nicholas St Ste 300
Omaha, NE 68114-2249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241210001506 NE Practitioner - Physician Assistant 1456887710 Reassigns benefits to 1 organization
I20241210001780 IA Practitioner - Physician Assistant 1456887710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nagi T Ayoub MD PCGroup PAC ID 0547429250, 2 clinicians

Practice addresses (Care Compare)

9900 Nicholas St
Suite 300
Omaha, NE 68114-2249
Phone (402) 829-6384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3154NEMDOrthopedic Physical Therapist

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAHCDA/Endpoint/AAHCDA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1144056672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142249",
            "telephone_number": "402-829-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEABODY",
        "first_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NE",
            "license": "3154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.