Active NPI
Jeffrey John Muilenburg, M.D.
- Family Medicine Physician
- Aurora, NE
National Provider Identifier
1386652964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20190
- Practice address
- 609 O St
Aurora, NE 68818-1100 - Phone
- (402) 694-3191
- Fax
- (402) 694-2146
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20190 | NE | Primary |
Addresses
Primary practice location
609 O St
Aurora, NE 68818-1100
Mailing address
609 O St
Aurora, NE 68818-1100
Phone (402) 694-3191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31232 | Other | NE | BCBS NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JEFFREYMUILENBURG@mchi.cernerdirect.com | Direct |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100817000938 | NE | Practitioner - Family Practice | 1456485150 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Community Health Inc
Practice addresses (Care Compare)
609 O St
Aurora, NE 68818-1104
Phone (402) 694-3191
Hospital & facility affiliations
- Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Community Health Inc | Current | Accepting new patients | |
| Memorial Community Health, Inc | Current | Accepting new patients | |
| Memorial Community Health, Inc | Family Medicine | Current | Accepting new patients |
Locations
609 O St
Aurora, NE 68818
Phone (402) 694-3191
1423 7th St
Aurora, NE 68818
Phone (402) 694-3171
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a4c7307b-5132-41db-ae59-8b3c5b480948/
- jeffreymuilenburg@mchi.cernerdirect.com
Organizations & group practices 5
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
- Aurora, NE
- NPI 1881603850
Family Medicine, NE
-
- Rural Health Clinic/Center
- Aurora, NE
- NPI 1083326193
-
- Rural Health Clinic/Center
- Clay Center, NE
- NPI 1336851450
-
- Medicare Defined Swing Bed Hospital Unit
- Aurora, NE
- NPI 1396753323
Hospital & facility affiliations 1
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": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1386652964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 O ST",
"city": "AURORA",
"state": "NE",
"postal_code": "688181100",
"telephone_number": "402-694-3191",
"fax_number": "402-694-2146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 O ST",
"city": "AURORA",
"state": "NE",
"postal_code": "688181100",
"telephone_number": "402-694-3191",
"fax_number": "402-694-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUILENBURG",
"first_name": "JEFFREY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "20190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "31232",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JEFFREYMUILENBURG@mchi.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Memorial Community Health Inc Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "609 O St",
"city": "Aurora",
"state": "NE",
"country_code": "US",
"postal_code": "688181100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Aurora, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.