Individual provider Active NPI

Catherine McQuistan, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1619419991
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2295 Issued in NE
Practice address
2412 Cuming St
Omaha, NE 68131-1601
Phone
(402) 717-0380
NPI assigned
Nov 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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 085.006063 IL
Physician Assistant 363A00000X 2295 NE Primary

Addresses

Primary practice location

2412 Cuming St
Omaha, NE 68131-1601

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311

Other names 1

  • Catherine Dahl 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
I20181205000245 NE Practitioner - Physician Assistant 6002196235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Physicians P.C.Group PAC ID 4183727266, 11 clinicians

Practice addresses (Care Compare)

17030 Lakeside Hills PLZ
Suite 102
Omaha, NE 68130-4656
Phone (402) 758-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2295NEMDClinical Social Worker
085.006063ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Jan 1, 2019 Accepting new patients
Alegent Creighton Clinic CurrentSince Jan 1, 2019 Accepting new patients
Alegent Creighton Clinic Physician Assistant Past Accepting new patients
Health Service Systems, Inc Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

17030 Lakeside Hills Plz
Ste 130
Omaha, NE 68130
Phone (402) 758-5150

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

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

2412 Cuming St
Omaha, NE 68131
Phone (402) 449-4000

17030 Lakeside Hills Plz
Ste 102
Omaha, NE 68130
Phone (402) 390-1027

Organizations & group practices 5

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 2

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": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1619419991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 CUMING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681311601",
            "telephone_number": "402-717-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUISTAN",
        "first_name": "CATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.006063",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "DAHL",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.