Individual provider Active NPI

Suzanne D Feloney, PA-C

  • Medical Physician Assistant
  • Omaha, NE
National Provider Identifier
1598804809
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1303 Issued in NE
Practice address
9900 Nicholas St
Suite 300
Omaha, NE 68114-2249
Phone
(402) 829-6384
Fax
(402) 829-6495
NPI assigned
Feb 5, 2007
Last updated
Dec 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1303 NE Primary

Addresses

Primary practice location

9900 Nicholas St
Suite 300
Omaha, NE 68114-2249

Mailing address

9900 Nicholas St
Suite 300
Omaha, NE 68114-2249
Phone (402) 829-6384

Other names 1

  • Suzanne D Childers Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070223000522 NE Practitioner - Physician Assistant 3173625092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Diseases Associates PCGroup PAC ID 5597663369, 3 clinicians

Practice addresses (Care Compare)

1870 No 75 St
Omaha, NE 68124-1700
Phone (402) 361-5758

8301 Dodge St
Omaha, NE 68114-4108
Phone (402) 955-5400

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000

9202 W Dodge Rd
Omaha, NE 68114-3318
Phone (402) 934-6504

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1303NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
General & Vascular Surgery, P.C. Past Accepting new patients
Deanna Armstrong MD PC Past Accepting new patients
Nebraska Foot & Ankle, P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/49ec4064-7609-4f62-b5e6-20a05e00549b/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1598804809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST",
            "address_2": "SUITE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142249",
            "telephone_number": "402-829-6384",
            "fax_number": "402-829-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST",
            "address_2": "SUITE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142249",
            "telephone_number": "402-829-6384",
            "fax_number": "402-829-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELONEY",
        "first_name": "SUZANNE",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "CHILDERS",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.