Individual provider Active NPI

Emily R Kean Puccioni, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Omaha, NE
National Provider Identifier
1881697944
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
22781 Issued in NE
Practice address
10707 Pacific St
Suite 101
Omaha, NE 68114-4762
Phone
(402) 397-7989
Fax
(402) 393-7554
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 22718 NE
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 22781 NE Primary

Addresses

Primary practice location

10707 Pacific St
Suite 101
Omaha, NE 68114-4762

Mailing address

PO Box 8577
Omaha, NE 68108-0577
Phone (402) 397-7989

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041015000347 NE Practitioner - UrologyPractitioner - Obstetrics/Gynecology 1759341522 Reassigns benefits to 2 organizations
I20110929000609 IA Practitioner - Obstetrics/GynecologyPractitioner - Urology 1759341522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Obstetrics/Gynecology
Education
University of Nebraska College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center PCGroup PAC ID 2961396833, shared by 4 NPIs, 43 clinicians

Practice addresses (Care Compare)

10707 Pacific St
Suite 101
Omaha, NE 68114-4762
Phone (402) 397-7989

3434 W Broadway
102 Urohealth Partners
Council Bluffs, IA 51501-3291
Phone (712) 325-0014

Hospital & facility affiliations

  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Center, PC Urology CurrentSince Jul 1, 2025 Accepting new patients
Adult & Pediatric Urology, PC Urology CurrentSince Jul 1, 2004 Accepting new patients
Urology Center PC Urology CurrentSince Jul 1, 2025 Accepting new patients
Urology Center PC Urology CurrentSince Jul 1, 2004 Accepting new patients

Locations

3434 W Broadway
Ste 102
Council Bluffs, IA 51501
Phone (712) 325-0014

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178

10707 Pacific St
Ste 101
Omaha, NE 68114

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4
  • Direct secure messaging: emily.keanpuccioni.p1@direct.tuc.nextgenshare.com

Organizations & group practices 4

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1881697944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8577",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681080577",
            "telephone_number": "402-397-7989",
            "fax_number": "402-397-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 PACIFIC ST",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144762",
            "telephone_number": "402-397-7989",
            "fax_number": "402-393-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAN PUCCIONI",
        "first_name": "EMILY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "22718",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NE",
            "license": "22781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.