Individual provider Active NPI

Puja Kandel, APRN

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1861278533
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
115017 Issued in NE
Practice address
8141 W Center Rd Ste 200
Omaha, NE 68124-3273
Phone
(402) 717-3000
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1017347 TX
Nurse Practitioner 363L00000X 115017 NE Primary

Addresses

Primary practice location

8141 W Center Rd Ste 200
Omaha, NE 68124-3273

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 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
I20240106000458 IA Practitioner - Nurse Practitioner 4880045566 Reassigns benefits to 1 organization
I20240106000489 NE Practitioner - Nurse Practitioner 4880045566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles Drew Health Center IncGroup PAC ID 9830170653, 13 clinicians
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

2915 Grant St
Omaha, NE 68111-3863
Phone (402) 457-1200

3135 W Broadway
Council Bluffs, IA 51501-3359
Phone (712) 328-9100

5319 N 30TH St a
Omaha, NE 68111-1604
Phone (402) 457-1216

8141 W Ctr
Omaha, NE 68124-3273
Phone (402) 717-3000

Hospital & facility affiliations

  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1017347TXMDRegistered Nurse
115017NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Drew Health Center, Inc CurrentSince Jun 1, 2024 Accepting new patients
Alegent Creighton Clinic CurrentSince Jan 16, 2024 Accepting new patients
Charles Drew Health Center, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Alegent Creighton Clinic CurrentSince Jan 16, 2024 Accepting new patients
Charles Drew Health Center Inc PastSince May 25, 2021 Accepting new patients

Locations

3135 W Broadway
Council Bluffs, IA 51501
Phone (712) 242-2040

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

5904 Henniger Ave
Omaha, NE 68183
Phone (402) 444-4231

8141 W Center Rd
Omaha, NE 68124
Phone (402) 391-1100

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

4220 L St
#100
Omaha, NE 68107
Phone (402) 733-4433

2915 Grant St
Omaha, NE 68111
Phone (402) 451-3553

8141 W Center Rd
Ste 200
Omaha, NE 68124
Phone (402) 391-3870

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

Interoperability endpoints

  • Direct secure messaging: puja.kandel.p1@direct.charlesdrew.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 2

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1861278533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8141 W CENTER RD STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243273",
            "telephone_number": "402-717-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDEL",
        "first_name": "PUJA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1017347",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.