Active NPI
Theresa Hatcher, DO
- Emergency Medical Services (Emergency Medicine) Physician
- Omaha, NE
National Provider Identifier
1376590547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 117
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07021 | Other | BCBS | |
| 930076005 | Other | RR MCR | |
| 1376590547 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.6 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 117 | NE | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mves Austintown LLC | Current | Accepting new patients | |
| Memorial Health Care Systems | Current | Accepting new patients | |
| Memorial Health Care Systems | Current | 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.
-
- Family Medicine Physician
- Seward, NE
- NPI 1699845016
-
- Emergency Medicine Physician
- Austintown, OH
- NPI 1972555944
-
- Medicare Defined Swing Bed Hospital Unit
- Seward, NE
- NPI 1013087089
-
- Emergency Medical Services (Emergency Medicine) Physician
- Omaha, NE
- NPI 1265498661
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.