Individual provider Active NPI

Erica J Estep, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1366628315
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2169 Issued in NE
Practice address
3685 N 129TH St
Omaha, NE 68164
Phone
(402) 595-3993
Fax
(402) 595-1132
NPI assigned
Jan 20, 2008
Last updated
Jul 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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 10001359A IN
Physician Assistant 363A00000X 2169 NE Primary

Addresses

Primary practice location

3685 N 129TH St
Omaha, NE 68164

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Other identifiers 2

IdentifierTypeStateIssuer
000000755693OtherINBCBS MEMORIAL HOSPITALIST
P01154064OtherINRR MEDICARE

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
I20180306002020 NE Practitioner - Physician Assistant 3274610514 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harlan Medical LLCGroup PAC ID 8628206034, 11 clinicians
Hydr8 LLCGroup PAC ID 1456726884, 18 clinicians
4G Enterprises LLCGroup PAC ID 4789810508, 20 clinicians
Make Medical LLCGroup PAC ID 9335429489, 7 clinicians

Practice addresses (Care Compare)

1307 Harlan Dr
Bellevue, NE 68005-3699
Phone (402) 291-8701

18210 Wright St
Omaha, NE 68130-2883
Phone (531) 999-1813

2717 S 108TH St
Omaha, NE 68144-4811
Phone (402) 933-8201

325 N 72ND St
Omaha, NE 68114-3605
Phone (402) 715-5272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10001359AINMDPhysician Assistant
2169NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Urgent Care LP Current Accepting new patients
Lana G Nelson DO PC Past Accepting new patients
The Nebraska Medical Center Past Accepting new patients
Midwest Minor Medical PC PastSince May 1, 2010 Accepting new patients

Locations

1307 Harlan Dr
Bellevue, NE 68005
Phone (402) 291-8701

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1366628315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68164",
            "telephone_number": "402-595-3993",
            "fax_number": "402-595-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEP",
        "first_name": "ERICA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-20",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001359A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MEMORIAL HOSPITALIST",
            "identifier": "000000755693",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01154064",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.