Individual provider Active NPI

Carmen Magistro, PA-C

  • Medical Physician Assistant
  • Bellevue, NE
National Provider Identifier
1841258563
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
828 Issued in NE
Practice address
2206 Longo Dr
Suite 201
Bellevue, NE 68005-2977
Phone
(402) 292-9170
Fax
(402) 292-0119
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 828 NE Primary

Addresses

Primary practice location

2206 Longo Dr
Suite 201
Bellevue, NE 68005-2977

Mailing address

2206 Longo Dr
Suite 201
Bellevue, NE 68005-2977
Phone (402) 292-9170

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061016000349 NE Practitioner - Physician Assistant 4486650405 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harlan Medical LLCGroup PAC ID 8628206034, 11 clinicians
Bellevue Family Practice PCGroup PAC ID 3476450032, 5 clinicians
Make Medical LLCGroup PAC ID 9335429489, 7 clinicians

Practice addresses (Care Compare)

1307 Harlan Dr
Bellevue, NE 68005-3699
Phone (402) 291-8701

2206 Longo Dr
Suite 201
Bellevue, NE 68005-2977
Phone (402) 292-0114

325 N 72ND St
Omaha, NE 68114-3605
Phone (402) 715-5272

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
828NEMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Bennington, LLC CurrentSince Jul 11, 2025 Accepting new patients
Bellevue Urgent Care LP Current Accepting new patients
Urgent Care Group LLC Past Accepting new patients

Locations

1307 Harlan Dr
Bellevue, NE 68005
Phone (402) 291-8701

8001 N 157th St
Ste 102
Bennington, NE 68007
Phone (531) 999-8744

Interoperability endpoints

  • Direct secure messaging: carmen.magistro@bfpp-ne.direct.office.nextgen.com

Organizations & group practices 8

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 3

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841258563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 LONGO DR",
            "address_2": "SUITE 201",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052977",
            "telephone_number": "402-292-9170",
            "fax_number": "402-292-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 LONGO DR",
            "address_2": "SUITE 201",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052977",
            "telephone_number": "402-292-9170",
            "fax_number": "402-292-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGISTRO",
        "first_name": "CARMEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.