NPIMap

Organization Active NPI

Spearcorn Investments, LLC

Doing business as Nebraska Wellness Group

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1154190338
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SPEARCORN INVESTMENTS, LLC
Doing business as
Nebraska Wellness Group
Practice address
11837 Miracle Hills Dr Ste 200
Omaha, NE 68154-4418
Phone
(402) 218-1242
Fax
(402) 218-1243
NPI assigned
Dec 28, 2023
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Mr. Todd Colgrove
Title
Director of Operations
Phone
(402) 218-1242

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
General Practice Physician 208D00000X NU
Obesity Medicine (Preventive Medicine) Physician 2083B0002X NU

Addresses

Primary practice location

11837 Miracle Hills Dr Ste 200
Omaha, NE 68154-4418

Mailing address

11837 Miracle Hills Dr Ste 200
Omaha, NE 68154-4418
Phone (402) 218-1242

Other names 1

  • Nebraska Wellness Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241216000308 NE Part B Supplier - Clinic/Group Practice 9436685351 Receives reassigned benefits from 4 practitioners
Practice locations: Omaha, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2313520Nebraska Wellness Group11837 Miracle Hills Dr, Ste 200, Omaha, NE 68154Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Locations

4848 S 120th St
Ste 210
Omaha, NE 68137

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1154190338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11837 MIRACLE HILLS DR STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544418",
            "telephone_number": "402-218-1242",
            "fax_number": "402-218-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11837 MIRACLE HILLS DR STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544418",
            "telephone_number": "402-218-1242",
            "fax_number": "402-218-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEARCORN INVESTMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "COLGROVE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "402-218-1242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nebraska Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nebraska Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.