Individual provider Active NPI

Joshua M Endelicato, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1295929032
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1527 Issued in NE
Practice address
5005 S 153Rd St Ste 100
Omaha, NE 68137-5070
Phone
(402) 717-1255
NPI assigned
Sep 5, 2007
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 1527 NE Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071003000567 IA Practitioner - Physician Assistant 4880789015 Reassigns benefits to 1 organization
I20100827000090 NE Practitioner - Physician Assistant 4880789015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 ClinicGroup PAC ID 1951210418, 951 clinicians
Alegent Health Quick Care LLCGroup PAC ID 3476657370, 6 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Family Medicine CurrentSince Feb 25, 2025 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Mar 16, 2020 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

14591 Stoney Brook Blvd
Omaha, NE 68137
Phone (402) 697-0811

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

5005 S 153rd St
Ste 100
Omaha, NE 68137
Phone (402) 614-1258

5045 S 153rd St
Omaha, NE 68137
Phone (402) 717-9100

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

Interoperability endpoints

  • Direct secure messaging: jendelicato8598@achce.catholichealth.net

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 2

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1295929032",
    "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": "5005 S 153RD ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375070",
            "telephone_number": "402-717-1255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1288 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515035245",
            "country_code": "US",
            "telephone_number": "712-328-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDELICATO",
        "first_name": "JOSHUA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1527",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "001840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.