Scott J. Fasse, M.D., P.C.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SCOTT J. FASSE, M.D., P.C.

Practice address

614 N 108TH CT
Omaha, NE 68154-1762

Phone

(402) 884-7218

Fax

(402) 884-7589

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Scott J. Fasse, M.D.NPI 1154405090

Title

President

Phone

(402) 884-7218

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott J Fasse, M.D.

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1154405090
  Medicare reassignment NPD Authorized official
• Kimberly McColley, P.A.-C.

  • Physician Assistant
  • Omaha, NE
  • NPI 1013067016
  Medicare reassignment

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679657423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 N 108TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541762",
            "telephone_number": "402-884-7218",
            "fax_number": "402-884-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 N 108TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541762",
            "telephone_number": "402-884-7218",
            "fax_number": "402-884-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT J. FASSE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FASSE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-884-7218",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Sue Schwieger
• Brooke Sciuto, MD
• Jennifer Scoles
• Tommi Scornavacca
• Scott C Nelson DPM
• Barbara Scott Knapp, RN
• Scott W Prescher MD PC
• Tina R Scott-Mordhorst, MD
• Kia Tanay Scott-Sellers, MSN, BSN, RN, FNE
• Alexia Scott

• Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.