Nebraska Methodist Hospital
Organization Active NPI General Acute Care Hospital · Omaha, NE
NPI 1427147883 · NPPES record last updated Nov 13, 2020
Key facts
- NPI
- 1427147883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 260008 (NE)
- Legal business name
- NEBRASKA METHODIST HOSPITAL
- Practice address
- 8303 Dodge Street
Omaha, NE 68114 - Phone
- (402) 354-4000
- Fax
- (402) 354-8735
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Steven L. Goeser
- Title
- Executive Vice President & Coo
- Phone
- (402) 354-4449
Owners & managing parties with NPI records 4
-
Joseph T McCaslin, M.D.
-
Deborah A Perry, M.D.
-
William D Weidner, M.D.
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 7
Related certifications (CCN) 1
Facilities with the same owner 5
Practitioners 681
-
Peter A. Abasolo, M.D.
-
Alison Marie Benson, M.D.
-
Robert G. Bonebrake, M.D.
-
Shelley C Booth, APRN-FNP-C
-
Kathryn Jane Brand, APRN
-
Heidi L. Brooks, MSN-RN; APRN-FNP
-
Sean Robert Brozek, M.D.
-
Amanda Theresa Calleroz, M.D.
-
Abigail Kay Chase, APRN
-
Adam Stephen Chick, M.D.
-
Mark D Chouinard, MD
-
Brendan D Connealy, M.D.
-
Andrew M Coughlin, M.D.
-
Cassie Jo Cowles, APRN, ACNP
-
David R. Crotzer, M.D.
-
Joshua D Dahlke, M.D.
-
Albert Russell Dunn, M.D.
-
Glynne Edwards, M.D.
-
Kelly Eglseder, AGPCNP-BC
-
Jenna L. Eich, APRN
Affiliated clinicians 1,062
-
Peter A. Abasolo, M.D.
-
Justin Leroy Abbott, CRNA
-
Maren Louise Abels, PA-C
-
Reema O Abou Nasr, M.D.
-
Jennifer J Adams, M.D.
-
Daniel Agraz, MD
-
Brandon R Alex, M.D.
-
Tyron A Alli, M.D.
-
Kathryn Anderson, DNP, APRN, FNP-C
-
Radha Andukuri, M.D.
-
Joseph A Anthone, APRN
-
Kimberly A Apker, MD
-
Kathleen A Archer, ARNP
-
Joel Donald Armitage, M.D.
-
Diana Arnold, DNP
-
John C Ashley, CRNA
-
Jennifer Rose Asmus, APRN
-
Ashlee Michelle Au, APRN, FNP-C
-
Mindy A. Augustine, PA-C
Medicare Care Compare: Hospital
- Listed as
- The Nebraska Methodist Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Hospital certification: CCN 280040
- Legal name
- NEBRASKA METHODIST HOSPITAL
- Doing business as
- METHODIST HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Nov 19, 2019
- Beds
- 430
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 11, 1895 in NE
- Enrollment address
- 8303 Dodge St
Omaha, NE 68114-4199 - Hospital subgroups
- General, Acute care, Rehabilitation unit
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph T McCaslin |
Corporate Director |
Jan 1, 2022 | |
| Jeffrey E Francis |
Contracted Managing Employee |
Mar 7, 2016 | |
| Corporate Officer |
Mar 7, 2016 | ||
| Operational/Managerial Control |
Mar 7, 2016 | ||
| Richard C Hahn |
Corporate Director | Jan 1, 2002 | |
| Michael C Lebens |
Corporate Director | Jan 1, 2013 | |
| Josephine P Abboud |
Contracted Managing Employee |
Oct 1, 2018 | |
| Corporate Officer |
Oct 1, 2018 | ||
| Operational/Managerial Control |
Oct 1, 2018 | ||
| Stephen L Goeser |
Contracted Managing Employee |
Jan 1, 2008 | |
| Corporate Officer |
Jan 1, 2008 | ||
| Operational/Managerial Control |
Jan 1, 2008 | ||
| Cristina Castro-Matukewicz |
Corporate Director |
Jan 1, 2022 | |
| Larry V Pearson |
Corporate Officer | Jan 1, 2011 | |
| Corporate Director | Jan 1, 2005 | ||
| William D Weidner |
Corporate Director |
Jan 1, 2022 | |
| Todd L Engle |
Corporate Director |
Apr 1, 2019 | |
| Richard a Kutilek |
Corporate Director |
Jan 1, 2020 | |
| Clarence L Landen |
Corporate Director | Jan 1, 1998 | |
| Deborah a Perry |
Corporate Director |
Jan 1, 2019 | |
| Deborah L Bass |
Corporate Director | Jan 1, 2015 | |
| Bret C Griess |
Corporate Director | Jan 1, 2015 | |
| Kathleen C Dodge |
Corporate Director | Jan 1, 2012 | |
| Nebraska Methodist Health System Inc |
Operational/Managerial Control | Jul 9, 1981 | |
| Adam Yale |
Corporate Officer | Jan 1, 2011 | |
| Corporate Director | Jan 1, 2009 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Midwest Surgical Hospital LLC |
Hospital | 5% Or Greater Direct Ownership Interest (6.44%) | Oct 3, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080109000230 | NE | Part a Provider - Hospital | 6901707447 | Practice locations: Elkhorn, NE; Omaha, NE |
National Provider Directory
- Tax ID family
- GYN Oncology Clinic
Locations
707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000
515 N 162nd Ave
Omaha, NE 68118
Phone (402) 354-7332
Interoperability endpoints
- joshua.allwardt@direct.nmhs.org
- katrina.longe@direct.nmhs.org
- jeremy.gallant@direct.nmhs.org
- emily.lizalek@direct.nmhs.org
- tamara.dietze@direct.nmhs.org
- michael.jacobson@direct.nmhs.org
- m.crabb@direct.nmhs.org
- regina.plummer@direct.nmhs.org
- nidhi.madan@direct.nmhs.org
- steven.diamantis@direct.nmhs.org
- lisa.stenvers@direct.nmhs.org
- makenzie.reeves@direct.nmhs.org
- sarah.noordam@direct.nmhs.org
- benjamin.lloyd@direct.nmhs.org
- amy.petersen@direct.nmhs.org
- amy.tipp@direct.nmhs.org
- stephanie.downey@direct.nmhs.org
- eric.rodrigo@direct.nmhs.org
- jackie.thielen@direct.nmhs.org
- katie.cutler@direct.nmhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 260008 | NE | Yes |
| Women's Hospital | 282NW0100X | H000116 | NE |
Addresses
Primary practice location
8303 Dodge Street
Omaha, NE 68114
Mailing address
PO Box 2797
Omaha, NE 68103-2797
Phone (402) 354-4230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0901108 | Medicaid | IA | |
| 10025105100 | Medicaid | NE | |
| 00004 | Other | NE | BCBS OF NE |
| 5000043 | Other | NE | UHC |
Other names
- Methodist Hospital
Other providers in Omaha, NE
- Nebraska Medical Center
- Nebraska Medical Clinics PLLC
- Nebraska Medical Specialists PC
- Nebraska Methodist Hospital
- Nebraska Methodist Hospital
- Nebraska Methodist Hospital
- Nebraska Methodist Hospital
- Nebraska Methodist Hospital
- Nebraska Methodist Hospital
- Nebraska Methodist Omaha NE
All providers in Omaha, NE · General Acute Care Hospital in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.