Individual provider Active NPI

Mitchell Steven Norfleet, PA-C

  • Physician Assistant
  • Gretna, NE
National Provider Identifier
1225040900
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1156 Issued in NE
Practice address
102 W Gruenther Rd
Gretna, NE 68028
Phone
(402) 332-2772
Fax
(402) 332-5446
NPI assigned
Aug 12, 2006
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1156 NE Primary
Medical Physician Assistant 363AM0700X 1156 NE

Addresses

Primary practice location

102 W Gruenther Rd
Gretna, NE 68028

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311

Other practice location 1

2727 S 144th St Ste 280
Omaha, NE 68144-5252
Phone (402) 778-5490

Other practice location 2

2727 S 144th St Ste 280
Omaha, NE 68144-5252
Phone (402) 778-5490

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110901000661 NE Practitioner - Physician Assistant 3678530938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

16909 Lakeside Hills CT
Omaha, NE 68130-4661

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Aug 1, 2019 Accepting new patients
Alegent Creighton Clinic Physician Assistant Past Accepting new patients
Winnebago Indian Health Service Past Accepting new patients

Locations

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

Organizations & group practices 4

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 3

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1225040900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W GRUENTHER RD",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "68028",
            "telephone_number": "402-332-2772",
            "fax_number": "402-332-5446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 S 144th St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681445252",
            "country_code": "US",
            "telephone_number": "402-778-5490",
            "fax_number": "402-614-1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 S 144th St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681445252",
            "country_code": "US",
            "telephone_number": "402-778-5490",
            "fax_number": "402-614-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORFLEET",
        "first_name": "MITCHELL",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1156",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

Verify at the official NPI Registry.