Individual provider Active NPI

Taylor Elizabeth Hepp, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1669935565
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2426 Issued in NE
Practice address
10707 Pacific St Ste 101
Omaha, NE 68114-4762
Phone
(402) 397-7989
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 2426 NE Primary

Addresses

Primary practice location

10707 Pacific St Ste 101
Omaha, NE 68114-4762

Mailing address

PO Box 8577
Omaha, NE 68108-0577
Phone (402) 397-7989

Other names 1

  • Taylor Erlenbusch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200609000484 NE Practitioner - Physician Assistant 1951634708 Reassigns benefits to 3 organizations
I20240502001381 IA Practitioner - Physician Assistant 1951634708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center PCGroup PAC ID 2961396833, 43 clinicians

Practice addresses (Care Compare)

10707 Pacific St
Omaha, NE 68114-4762

111 /2 S 90TH St
Pacific Surg East
Omaha, NE 68114-3907
Phone (402) 397-7178

111 S 90TH St
Urohealth Partners
Omaha, NE 68114-3907
Phone (402) 397-9800

16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (402) 717-8000

2301 Eastern Ave
Montgomery Co Hosp
Red Oak, IA 51566-1300
Phone (712) 623-7000

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

933 E Pierce St
Methodist J. Edmund
Council Bluffs, IA 51503-4626
Phone (712) 396-6000

Hospital & facility affiliations

  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • Methodist Fremont Health Hospital, Fremont, NE, CCN 280077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2426NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Center PC CurrentSince Apr 8, 2024 Accepting new patients
Urology Center PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

3434 W Broadway
Ste 102
Council Bluffs, IA 51501
Phone (712) 325-0014

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178

10707 Pacific St
Ste 101
Omaha, NE 68114

105 S 90th St
Omaha, NE 68114
Phone (402) 397-9800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4
  • Direct secure messaging: taylor.hepp.p1@direct.tuc.nextgenshare.com

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 5

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1669935565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8577",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681080577",
            "telephone_number": "402-397-7989",
            "fax_number": "402-393-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 PACIFIC ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144762",
            "telephone_number": "402-397-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPP",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "ERLENBUSCH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.