Julie L Waddell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23224 Issued in NE

Practice address

9802 Nicholas Street
Suite 305
Omaha, NE 68114-2106

Phone

(402) 397-2300

Fax

(402) 397-2303

NPI assigned

Apr 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV, VA, PA, MN, MD, FL, DE7 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julie.waddell.1@27404.direct.athenahealth.com

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.

• Dwic of Tampa Bay, Inc.

  • Urgent Care Clinic/Center
  • Clearwater, FL
  • NPI 1780633834
  Medicare reassignment NPD
• Medexpress Urgent Care of Boynton Beach, LLC

  • Urgent Care Clinic/Center
  • Boynton Beach, FL
  • NPI 1366544728
  Medicare reassignment NPD
• Medexpress Urgent Care, PC - Maryland

  • Urgent Care Clinic/Center
  • Hagerstown, MD
  • NPI 1164707980
  Medicare reassignment NPD
• Medexpress Urgent Care, PC - Virginia

  • Urgent Care Clinic/Center
  • Bluefield, VA
  • NPI 1215219878

  Family Medicine

  Medicare reassignment NPD
• Medexpress, Inc - Delaware

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1255692182
  Medicare reassignment NPD
• Urgent Care, PC - Pennsylvania

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1982839031
  Medicare reassignment NPD
• Nebraska Medical Aesthetics, LLC

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1780874826
  NPD (past) Authorized official
• Dwic of Tampa Bay, Inc

  • Urgent Care Clinic/Center
  • Cape Coral, FL
  • NPI 1427416908
  NPD
• Dwic of Tampa Bay, Inc.

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1023067220
  NPD
• Medexpress Urgent Care of Boynton Beach, LLC

  • Urgent Care Clinic/Center
  • Boca Raton, FL
  • NPI 1245506807
  NPD
• Medexpress Urgent Care, PC - Maryland

  • Urgent Care Clinic/Center
  • Waldorf, MD
  • NPI 1528415064

  Family Medicine

  NPD
• Medexpress Urgent Care, PC - Maryland

  • Urgent Care Clinic/Center
  • Frederick, MD
  • NPI 1891142337

  Family Medicine

  NPD

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1700843125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9802 NICHOLAS STREET",
            "address_2": "SUITE 305",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142106",
            "telephone_number": "402-397-2300",
            "fax_number": "402-397-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 NICHOLAS STREET",
            "address_2": "SUITE 305",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142106",
            "telephone_number": "402-397-2300",
            "fax_number": "402-397-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1741 Dual Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217406626",
            "country_code": "US",
            "telephone_number": "301-790-0254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "JULIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "23224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "22192",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00196",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neal Wachholtz, P.T.
• Barbara Wachner
• Chantel Wachner
• Patrick Wachter, D.D.S
• Yvonne Wadas
• Makaela Waddell
• Waddington Chiropractic LLC
• Tracy Lynn Waddington, DC
• Maria Waddle
• Amber Wade

• Family Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.