NPIMap

Individual provider Active NPI

Andrea Vermaas, M.D.

  • Family Medicine Physician
  • Fremont, NE
National Provider Identifier
1235256645
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24033 Issued in NE
Practice address
350 W 23Rd St
Fremont, NE 68025-2592
Phone
(402) 721-7077
Fax
(402) 753-6020
NPI assigned
Mar 23, 2007
Last updated
Oct 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24033 NE Primary

Addresses

Primary practice location

350 W 23Rd St
Fremont, NE 68025-2592

Mailing address

350 W 23Rd St
Fremont, NE 68025-2592
Phone (402) 721-7077

Other identifiers 1

IdentifierTypeStateIssuer
10025238700MedicaidNE

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
I20070711000782 NE Practitioner - Family Practice 5799885372 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

2540 N Healthy Way
Fremont, NE 68025-2315
Phone (402) 721-7077

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions19
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24033NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital Current Accepting new patients
Pender Community Hospital District Current Accepting new patients
Pender Community Hospital District Family Medicine CurrentSince Dec 1, 2015 Accepting new patients
Physicians Clinic Inc Family Medicine CurrentSince Oct 20, 2020 Accepting new patients
Pender Community Hospital District Family Medicine CurrentSince Dec 1, 2015 Accepting new patients
Pender Community Hospital District Family Medicine Current Accepting new patients
Methodist Fremont Health Past Accepting new patients
Geoffrey C. Basler, M.D. P.C. PastSince Nov 1, 2015 Accepting new patients

Locations

812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611

2540 N Healthy Way
Fremont, NE 68025
Phone (402) 721-3133

350 W 23rd St
Fremont, NE 68025
Phone (402) 721-2444

350 W 23rd St
Ste A
Fremont, NE 68025
Phone (402) 721-7077

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451

100 Hospital Dr
Pender, NE 68047
Phone (402) 385-3083

Interoperability endpoints

  • Direct secure messaging: andrea.vermass@direct.nmhs.org

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 6

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1235256645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252592",
            "telephone_number": "402-721-7077",
            "fax_number": "402-753-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252592",
            "telephone_number": "402-721-7077",
            "fax_number": "402-753-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMAAS",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "24033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025238700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.