Individual provider Active NPI

Spencer Maxwell Gallner, M.D.

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1780051995
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
TEP 7527 Issued in NE
Practice address
985582 Nebraska Medical Ctr
Omaha, NE 68198-5582
Phone
(402) 552-6222
Fax
(402) 552-6222
NPI assigned
Aug 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X TEP 7527 NE Primary

Addresses

Primary practice location

985582 Nebraska Medical Ctr
Omaha, NE 68198-5582

Mailing address

1502 S 84TH St
Omaha, NE 68124-1329
Phone (402) 598-3554

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190618002494 NE Practitioner - Psychiatry 1153601539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nebraska College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Services PCGroup PAC ID 0941113328, 11 clinicians

Practice addresses (Care Compare)

9239 W Ctr Rd
Suite 211
Omaha, NE 68124-1900
Phone (402) 399-9305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TEP 7527NEMDPsychiatry Physician

Organizations & group practices 1

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1780051995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241329",
            "telephone_number": "402-598-3554",
            "fax_number": "402-391-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985582 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681985582",
            "telephone_number": "402-552-6222",
            "fax_number": "402-552-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLNER",
        "first_name": "SPENCER",
        "middle_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "TEP 7527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.