NPIMap

Individual provider Active NPI

Melissa L Muhs, P.A.C.

  • Physician Assistant
  • La Vista, NE
National Provider Identifier
1457430357
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1509 Issued in NE
Practice address
8248 S 96TH St
La Vista, NE 68128-3126
Phone
(402) 717-9500
Fax
(402) 717-9501
NPI assigned
Nov 3, 2006
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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 1509 NE Primary

Addresses

Primary practice location

8248 S 96TH St
La Vista, NE 68128-3126

Mailing address

8248 S 96TH St
La Vista, NE 68128-3126
Phone (402) 717-9500

Other identifiers 2

IdentifierTypeStateIssuer
38996OtherNEBCBS OF NEBRASKA
970030331OtherNERAILROAD MEDICARE

Other names 1

  • Miss Melissa L Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000247 NE Practitioner - Physician Assistant 5092741546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

16909 Lakeside Hills CT
Omaha, NE 68130-4661

8248 S 96TH St
La Vista, NE 68128-3126
Phone (402) 717-9500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Apr 26, 2016 Accepting new patients
Alegent Creighton Clinic CurrentSince Apr 26, 2016 Accepting new patients
Omaha Internal Medicine, PC Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

8248 S 96th St
Lavista, NE 68128
Phone (402) 717-9500

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

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1457430357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8248 S 96TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283126",
            "telephone_number": "402-717-9500",
            "fax_number": "402-717-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8248 S 96TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283126",
            "telephone_number": "402-717-9500",
            "fax_number": "402-717-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHS",
        "first_name": "MELISSA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "38996",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970030331",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "THOMAS",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "P.A.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Vista, NE

Sources for this page

Verify at the official NPI Registry.