Individual provider Active NPI

Ella Maeve Holbert, PA

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1386420883
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7710 Mercy Rd Ste 2000
Omaha, NE 68124-2323
Phone
(402) 717-7222
NPI assigned
Aug 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7710 Mercy Rd Ste 2000
Omaha, NE 68124-2323

Mailing address

1 Edmundson PL Ste 500
Council Bluffs, IA 51503-4619
Phone (712) 388-0155

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
I20231024000955 IA Practitioner - Physician Assistant 2466808712 Reassigns benefits to 2 organizations
I20231024001366 NE Practitioner - Physician Assistant 2466808712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone (712) 328-8800

16101 Evans St
Omaha, NE 68116-6447
Phone (402) 717-9700

16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (855) 524-4001

16909 Lakeside Hills CT
Omaha, NE 68130-4661

6901 N 72ND St
Omaha, NE 68122-1709

800 Mercy Dr
Council Bluffs, IA 51503-3128

Hospital & facility affiliations

  • CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3000NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Physician Assistant CurrentSince Oct 1, 2024 Accepting new patients
Alegent Creighton Clinic CurrentSince Oct 1, 2024 Accepting new patients
Miller Orthopaedic Affiliates PC CurrentSince Oct 9, 2023 Accepting new patients

Locations

1 Edmundson Pl
Ste 500
Council Bluffs, IA 51503
Phone (712) 323-5333

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

2771 Solution Ctr
Chicago, IL 60677

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

7710 Mercy Rd
Ste 2000
Omaha, NE 68124
Phone (402) 717-0820

16221 Evans Plz
Omaha, NE 68116
Phone (402) 991-9958

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

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.

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": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1386420883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDMUNDSON PL STE 500",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034619",
            "telephone_number": "712-388-0155",
            "fax_number": "712-323-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD STE 2000",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242323",
            "telephone_number": "402-717-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBERT",
        "first_name": "ELLA",
        "middle_name": "MAEVE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.