Individual provider Active NPI

Theresa Hatcher, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Omaha, NE
National Provider Identifier
1376590547
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
117 Issued in NE
Practice address
6901 N 72ND St
Omaha, NE 68122-1799
Phone
(402) 572-2225
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 117 NE Primary

Addresses

Primary practice location

6901 N 72ND St
Omaha, NE 68122-1799

Mailing address

PO Box 31058
Omaha, NE 68131-0058
Phone (866) 898-7142

Other identifiers 3

IdentifierTypeStateIssuer
07021OtherBCBS
930076005OtherRR MCR
1376590547MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100208000712 NE Practitioner - Emergency MedicinePractitioner - Family Practice 2163565490 Reassigns benefits to 1 organization
I20170823002368 OH Practitioner - Emergency Medicine 2163565490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as apm
Quality
82.13
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117NEMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mves Austintown LLC CurrentSince Jul 17, 2017 Accepting new patients
Memorial Health Care Systems CurrentSince Sep 18, 2012 Accepting new patients
Memorial Health Care Systems CurrentSince Sep 18, 2012 Accepting new patients
Emergency Clinicians Associates, LLC Emergency Medical Services Past Accepting new patients

Locations

250 N Columbia Ave
Seward, NE 68434
Phone (402) 643-4800

300 N Columbia Ave
Seward, NE 68434
Phone (402) 643-2971

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1376590547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31058",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681310058",
            "telephone_number": "866-898-7142",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221799",
            "telephone_number": "402-572-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "THERESA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NE",
            "license": "117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "930076005",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376590547",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.