Individual provider Active NPI

Austin Duerksen, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1396267803
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2925 Issued in NE
Practice address
13340 California St Ste 201
Omaha, NE 68154-5255
Phone
(402) 614-1999
NPI assigned
Jul 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 088345 IA
Physician Assistant 363A00000X 2925 NE Primary

Addresses

Primary practice location

13340 California St Ste 201
Omaha, NE 68154-5255

Mailing address

13340 California St Ste 201
Omaha, NE 68154-5255

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
I20170822001868 IA Practitioner - Physician Assistant 7618249921 Reassigns benefits to 1 organization
I20240302000529 NE Practitioner - Physician Assistant 7618249921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Centers of the Midlands LLCGroup PAC ID 1658680020, 5 clinicians

Practice addresses (Care Compare)

13340 California St
Suite 101
Omaha, NE 68154-5255
Phone (402) 614-1999

Merit-based Incentive Payment System (MIPS)

Final score
80.43 of 100Reported as group
Quality
66.86
Promoting interoperability
98
Improvement activities
40
Cost
69.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2925NEMDCounselor
088345IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Orthopaedic Center, P.C. CurrentSince Jul 20, 2017 Accepting new patients
Iowa Orthopaedic Center, P.C. Physician Assistant CurrentSince Jul 20, 2017 Accepting new patients
Neurology Consultants of Nebraska PC CurrentSince Jul 1, 2024 Accepting new patients
Dr Glenn J Bricken & Assoc P C PastSince Jan 16, 2024 Accepting new patients

Locations

450 Laurel St
Ste C
Des Moines, IA 50314
Phone (515) 247-9590

450 Laurel St
Ste A
Des Moines, IA 50314
Phone 5152478400321

13340 California St
Ste 201
Omaha, NE 68154
Phone (402) 614-1999

Interoperability endpoints

  • Direct secure messaging: austin.duerksen.1@12153.direct.athenahealth.com

Organizations & group practices 6

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1396267803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13340 CALIFORNIA ST STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 CALIFORNIA ST STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545255",
            "telephone_number": "402-614-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUERKSEN",
        "first_name": "AUSTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "088345",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.