Scott J Fasse, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16872 Issued in NE

Practice address

614 N 108TH CT
Omaha, NE 68154-1762

Phone

(402) 884-7218

Fax

(402) 884-7589

NPI assigned

Oct 25, 2006

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

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Nebraska College of Medicine, 1984

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7530/brand/1/csg/1/fhir/r4

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.

• Scott J. Fasse, M.D., P.C.

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1679657423

  Family Medicine

  Medicare reassignment NPD Authorized official
• Alan D Jensen MD P C

  dba Jensen Clinic, PC

  • Clinic/Center
  • Omaha, NE
  • NPI 1649614389
  NPD (past)
• Ogden Family Medicine, P.C.

  • Legal Medicine
  • Omaha, NE
  • NPI 1144401035
  NPD (past)

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

• Nebraska Methodist Hospital

  dba Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154405090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 N 108TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541762",
            "telephone_number": "402-884-7218",
            "fax_number": "402-884-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 N 108TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541762",
            "telephone_number": "402-884-7218",
            "fax_number": "402-884-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASSE",
        "first_name": "SCOTT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "16872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSN",
            "identifier": "34128",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandy Farwell
• Joanna Faryna, M.D.
• Helen O Fasanya-Uptagraft, MD
• Olamide Fasanya, MD
• Fashion Forward Optical
• Fast Forward Community Care Services, Inc.
• Ashley Fast Horse
• Hannah Fast
• Kody L Fast
• Javad Jon Fatemi, PHARMD

• Family Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.