Individual provider Active NPI

Paula R Bowersox, CRNA

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
National Provider Identifier
1639187396
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
100933 Issued in NE
Practice address
8901 Indian Hills Dr
Omaha, NE 68114-4029
Phone
(402) 934-1612
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 100933 NE Primary

Addresses

Primary practice location

8901 Indian Hills Dr
Omaha, NE 68114-4029

Mailing address

16669 Dyson Hollow Rd
Bellevue, NE 68123-3938
Phone (402) 250-9895

Other names 1

  • Paula R Bowersox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000761 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537182233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Gastrointestinal Associates PCGroup PAC ID 3779575766, 54 clinicians

Practice addresses (Care Compare)

8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4032
Phone (402) 397-7057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
100933NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia West, P.C. Current Accepting new patients
Midwest Gastrointestinal Associates PC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2017 Accepting new patients
Diagnostic & Int Med Assoc PC Past Accepting new patients
Anesthesia Affiliates Group Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000

7801 Wakeley Plz
Omaha, NE 68114
Phone (402) 391-4855

16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550

7915 Farnam Dr
Omaha, NE 68114
Phone (402) 399-1900

7822 Davenport St
Omaha, NE 68114
Phone (402) 391-4855

17001 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 885-8700

8901 Indian Hills Dr
Ste 200
Omaha, NE 68114
Phone (402) 397-7057

17001 Lakeside Hills Plz
Ste 100
Omaha, NE 68130
Phone (402) 614-6336

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1639187396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16669 DYSON HOLLOW RD",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681233938",
            "telephone_number": "402-250-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144029",
            "telephone_number": "402-934-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERSOX",
        "first_name": "PAULA",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "BOWERSOX",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.