Individual provider Active NPI

Eleni Zoe Maguire, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1275259616
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3252 Issued in NE
Practice address
2727 S 144TH St Ste 250
Omaha, NE 68144-5236
Phone
(402) 408-9625
Fax
(855) 576-4927
NPI assigned
Oct 18, 2022
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0008656 MD
Physician Assistant 363A00000X 131225 IA
Physician Assistant 363A00000X 3252 NE Primary

Addresses

Primary practice location

2727 S 144TH St Ste 250
Omaha, NE 68144-5236

Mailing address

2727 S 144TH St Ste 250
Omaha, NE 68144-5236
Phone (402) 408-9625

Other practice location 1

3512 Samson Way
Bellevue, NE 68123-4316
Phone (402) 408-9625

Other practice location 2

680 Medical Park Drive
Fremont, NE 68025
Phone (402) 408-9625

Other names 1

  • Eleni Zoe Ioannidis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221103000182 MD Practitioner - Physician Assistant 3173990215
I20221203000155 DC Practitioner - Physician Assistant 3173990215 Reassigns benefits to 1 organization
I20250512002285 NE Practitioner - Physician Assistant 3173990215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians
Ear Nose and Throat Consultants LLCGroup PAC ID 8123249927, 8 clinicians

Practice addresses (Care Compare)

16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (855) 524-4001

16909 Lakeside Hills CT
Omaha, NE 68130-4661

3512 Samson Way
Suite 130
Bellevue, NE 68123-4301
Phone (402) 408-9625

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131225IAMDPhysician Assistant
C0008656MDMDPhysician Assistant
3252NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Consultants LLC CurrentSince Nov 17, 2025 Accepting new patients

Locations

3512 Samson Way
Ste 130
Bellevue, NE 68123
Phone (402) 408-9625

2727 S 114TH St 250
Omaha, NE 68144
Phone (402) 408-9625

2727 S 144th St
Ste 250
Omaha, NE 68144
Phone (402) 408-9625

Interoperability endpoints

  • Direct secure messaging: eleniioannidis@sbentc.allscriptsdirect.net

Organizations & group practices 3

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 7

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1275259616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445236",
            "telephone_number": "402-408-9625",
            "fax_number": "855-576-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445236",
            "telephone_number": "402-408-9625",
            "fax_number": "855-576-4927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3512 Samson Way",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "NE",
            "postal_code": "681234316",
            "country_code": "US",
            "telephone_number": "402-408-9625",
            "fax_number": "855-576-4927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Medical Park Drive",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "68025",
            "country_code": "US",
            "telephone_number": "402-408-9625",
            "fax_number": "855-576-4927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "ELENI",
        "middle_name": "ZOE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008656",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "131225",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "3252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENI",
            "last_name": "IOANNIDIS",
            "middle_name": "ZOE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.