Individual provider Active NPI

Barbara E Roessner, PAC

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1619946977
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1188 Issued in NE
Practice address
Emile @ 42ND St
Omaha, NE 68198
Phone
(402) 559-8888
NPI assigned
Mar 17, 2006
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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 1188 NE Primary

Addresses

Primary practice location

Emile @ 42ND St
Omaha, NE 68198

Mailing address

988102 Nebraska Medical Center
Omaha, NE 68198-8102
Phone (402) 572-3300

Other practice location 1

426 E 22nd St
Fremont, NE 68025
Phone (402) 727-7796

Other practice location 2

426 E 22nd St
Fremont, NE 68025
Phone (402) 727-7796

Other identifiers 1

IdentifierTypeStateIssuer
P00345410OtherPALMETTO - GBA

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
I20050714000439 NE Practitioner - Physician Assistant 0446286082 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Value Based Long Term Care B PC PastSince Jun 1, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1619946977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102",
            "telephone_number": "402-572-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMILE @ 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68198",
            "telephone_number": "402-559-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 E 22nd St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "68025",
            "country_code": "US",
            "telephone_number": "402-727-7796",
            "fax_number": "402-727-9574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "426 E 22nd St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "68025",
            "country_code": "US",
            "telephone_number": "402-727-7796",
            "fax_number": "402-727-9574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROESSNER",
        "first_name": "BARBARA",
        "middle_name": "E",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO - GBA",
            "identifier": "P00345410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.