Joshua M Endelicato, PA-C
Individual provider Active NPI Physician Assistant · Omaha, NE
NPI 1295929032 · NPPES record last updated Mar 25, 2025
Key facts
- NPI
- 1295929032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1527 (NE)
- Practice address
- 5005 S 153Rd St Ste 100
Omaha, NE 68137-5070 - Phone
- (402) 717-1255
- NPI assigned
- Sep 5, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alegent Creighton Clinic
Alegent Health Quick Care LLC
Practice addresses (Care Compare)
16101 Evans St
Omaha, NE 68116-6447
Phone (402) 717-9700
1625 N 205TH St
CHI Health Clinic
Elkhorn, NE 68022-4759
Phone (402) 758-5452
16909 Lakeside Hills CT
Omaha, NE 68130-4661
4220 L St
Suite 100
Omaha, NE 68107-1048
Phone (402) 733-4433
5005 S 153Rd St
Suite 100
Omaha, NE 68137-5070
Phone (402) 717-1255
5045 S 153Rd St
Omaha, NE 68137-5001
Phone (402) 717-9100
6801 Newport Ave
Omaha, NE 68152-2152
Phone (402) 572-3900
800 Mercy Dr
Council Bluffs, IA 51503-3128
8141 W Ctr
Omaha, NE 68124-3273
Phone (402) 717-3000
8248 S 96TH St
La Vista, NE 68128-3126
Phone (402) 717-9500
Hospital & facility affiliations
- CHI Health Bergan Mercy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071003000567 | IA | Practitioner - Physician Assistant | 4880789015 | Reassigns benefits to 1 organization |
| I20100827000090 | NE | Practitioner - Physician Assistant | 4880789015 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1527 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Family Medicine | Current |
Accepting new patients |
| Alegent Creighton Clinic | Family Medicine | Current |
Accepting new patients |
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
Locations
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270
2771 Solution Ctr
Chicago, IL 60677
5045 S 153rd St
Omaha, NE 68137
Phone (402) 717-9100
14591 Stoney Brook Blvd
Omaha, NE 68137
Phone (402) 697-0811
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
5005 S 153rd St
Ste 100
Omaha, NE 68137
Phone (402) 614-1258
Interoperability endpoints
- jendelicato8598@achce.catholichealth.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1527 | NE | Yes |
| Family Medicine Physician | 207Q00000X | 001840 | IA |
Addresses
Primary practice location
5005 S 153Rd St Ste 100
Omaha, NE 68137-5070
Mailing address
7261 Mercy Rd
Omaha, NE 68124-2311
Other practice location 1
1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone (712) 328-8800
Other providers in Omaha, NE
- Cresencia Ramos Encarnacion
- Ranilo A. Encarnacion
- Encounter Telehealth, Inc
- Encounter Telepsychiatry LLC
- Grace Catherine Ende
- Guigonia L Enderez
- Enders Pharmacy Solutions
- Enders Pharmacy Solutions
- Jason Paul Enders
- Mariah Enders
All providers in Omaha, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.