NPIMap

Individual provider Active NPI

Mary Huerter Wells, MD

  • Hematology & Oncology Physician
  • Omaha, NE
National Provider Identifier
1538508296
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
29610 Issued in NE
Practice address
8303 Dodge St Ste 250
Omaha, NE 68114-4108
Phone
(402) 334-4773
Fax
(402) 330-7463
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6963 NE
Hematology & Oncology Physician 207RH0003X 29610 NE Primary

Addresses

Primary practice location

8303 Dodge St Ste 250
Omaha, NE 68114-4108

Mailing address

8303 Dodge St Ste 250
Omaha, NE 68114-4108
Phone (402) 334-4773

Other names 1

  • Mary Mereta Huerter 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
I20161227000340 NE Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2567686611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology West PCGroup PAC ID 8426030024, 56 clinicians

Practice addresses (Care Compare)

8303 Dodge St
Suite 250
Omaha, NE 68114-4108
Phone (402) 354-8124

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6963NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology West, PC CurrentSince Aug 4, 2020 Accepting new patients
Oncology Hematology West, PC Hematology & Oncology CurrentSince Aug 4, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Alegent Creighton Clinic Internal Medicine Past Accepting new patients

Locations

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

7500 Mercy Rd
#1300
Omaha, NE 68124
Phone (402) 393-3110

8303 Dodge St
Ste 250
Omaha, NE 68114
Phone (402) 354-8124

7710 Mercy Rd
Ste 426
Omaha, NE 68124
Phone (402) 343-8650

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

17201 Wright St
Ste 200
Omaha, NE 68130
Phone (402) 334-4773

7500 Mercy Rd
Ste 1300
Omaha, NE 68124
Phone (402) 334-4773

611 Fenwick Dr
Papillion, NE 68046
Phone (402) 593-3141

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 8

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1538508296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 DODGE ST STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144108",
            "telephone_number": "402-334-4773",
            "fax_number": "402-330-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 DODGE ST STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144108",
            "telephone_number": "402-334-4773",
            "fax_number": "402-330-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MARY",
        "middle_name": "HUERTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "6963",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "29610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HUERTER",
            "middle_name": "MERETA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.