Individual provider Active NPI

Marian K Meduna, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1861444093
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1698 Issued in NE
Practice address
8303 Dodge St
Omaha, NE 68114-4108
Phone
(402) 354-4000
Fax
(402) 354-8469
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA101706 MA
Physician Assistant 363A00000X 5601002851 MI
Physician Assistant 363A00000X 1698 NE Primary
Physician Assistant 363A00000X 082929 IA

Addresses

Primary practice location

8303 Dodge St
Omaha, NE 68114-4108

Mailing address

PO Box 2797
Omaha, NE 68103-2797
Phone (402) 354-4230

Other practice location 1

7100 W Center Rd
Omaha, NE 68106-2700
Phone (402) 506-9000

Other practice location 2

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3278

Other identifiers 2

IdentifierTypeStateIssuer
1861444093MedicaidIA
47037660432MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20150206001099 NE Practitioner - Physician Assistant 0941253025 Reassigns benefits to 3 organizations
I20160728002106 IA Practitioner - Physician Assistant 0941253025 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
082929IAMDPhysician Assistant
5601002851MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Physician Assistant CurrentSince Apr 1, 2020 Accepting new patients
New Century Physicians of Nebraska LLC CurrentSince May 31, 2022 Accepting new patients
Alegent Creighton Clinic CurrentSince Apr 1, 2020 Accepting new patients
Alegent Creighton Clinic CurrentSince Apr 1, 2020 Accepting new patients
General Hospital Corp Current Accepting new patients
Nebraska Methodist Hospital Physician Assistant CurrentSince Jan 1, 2018 Accepting new patients
Urgent Care Group LLC Past Accepting new patients

Locations

800 Mercy Dr
Ste 5
Council Bluffs, IA 51503
Phone (402) 717-0820

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

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

2771 Solution Ctr
Chicago, IL 60677

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

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

2821 S 108th St
Omaha, NE 68144
Phone (402) 291-8701

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

2412 Cuming St
Omaha, NE 68131
Phone (402) 449-4000

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

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

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

Interoperability endpoints

  • Direct secure messaging: meduna.marian.mgh@direct.partners.masshiway.net
  • Direct secure messaging: mmeduna105392@direct.nebraskamed.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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1861444093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2797",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681032797",
            "telephone_number": "402-354-4230",
            "fax_number": "402-354-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144108",
            "telephone_number": "402-354-4000",
            "fax_number": "402-354-8469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 W Center Rd",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681062700",
            "country_code": "US",
            "telephone_number": "402-506-9000",
            "fax_number": "402-506-9093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-3278",
            "fax_number": "508-334-7284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDUNA",
        "first_name": "MARIAN",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA101706",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002851",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1698",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "082929",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861444093",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47037660432",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.