Active NPI
Marian K Meduna, PA-C
- Physician Assistant
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1698
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861444093 | Medicaid | IA | |
| 47037660432 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082929 | IA | MD | Physician Assistant |
| 5601002851 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Physician Assistant | Current | Accepting new patients |
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Physician Assistant | Current | 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
- meduna.marian.mgh@direct.partners.masshiway.net
- 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.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1548287907
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1689628372
Physician Assistant
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Physician Assistant
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1154680700
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1013916600
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1144528035
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.