NPIMap

Individual provider Active NPI

John C Puente, M.D.

  • Neurology Physician
  • Fremont, NE
National Provider Identifier
1194775916
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
22773 Issued in NE
Practice address
2735 N Clarkson St Ste 1
Fremont, NE 68025-7722
Phone
(402) 727-9992
Fax
(402) 572-7029
NPI assigned
May 11, 2006
Last updated
May 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 22773 NE Primary

Addresses

Primary practice location

2735 N Clarkson St Ste 1
Fremont, NE 68025-7722

Mailing address

2735 N Clarkson St Ste 1
Fremont, NE 68025-7722
Phone (402) 727-9992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001504 NE Practitioner - Neurology 9638155583 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Nebraska College of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Be Well MD PLLCGroup PAC ID 7214218452, 4 clinicians
Madonna Rehabilitation HospitalGroup PAC ID 0446164081, 92 clinicians

Practice addresses (Care Compare)

13923 Gold Cir
Suite 101
Omaha, NE 68144-2318
Phone (402) 258-5647

2735 N Clarkson St
Suite 1
Fremont, NE 68025-7717
Phone (402) 727-9992

5401 S St
Lincoln, NE 68506-2150
Phone (402) 489-7102

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Neurology Specialists LLC Neurology CurrentSince May 1, 2024 Accepting new patients
Madonna Rehabilitation Hospital CurrentSince Oct 15, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 23, 2024 Accepting new patients
Be Well MD PLLC CurrentSince Mar 25, 2024 Accepting new patients
Kugler Vision PC PastSince Mar 25, 2024 Accepting new patients
Neurological and Spinal Surgery LLC Neurology Past Accepting new patients
Neurology Associates, P.C. Neurology Past Accepting new patients
Bryan Physician Network Neurology PastSince Aug 15, 2026 Accepting new patients

Locations

2735 N Clarkson St
Fremont, NE 68025
Phone (402) 727-5000

2735 N Clarkson St
Ste 1
Fremont, NE 68025
Phone (402) 727-7029

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

5800 Hidcote Dr
Ste 103
Lincoln, NE 68516
Phone (402) 484-5144

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

13923 Gold Cir
Ste 101
Omaha, NE 68144
Phone (402) 258-5647

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13052/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400353
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAJFAA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1194775916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 N CLARKSON ST STE 1",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257722",
            "telephone_number": "402-727-9992",
            "fax_number": "402-727-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 N CLARKSON ST STE 1",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257722",
            "telephone_number": "402-727-9992",
            "fax_number": "402-572-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTE",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NE",
            "license": "22773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.