Active NPI
Emily R Kean Puccioni, MD
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 22781
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Nebraska College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urology Center PC
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
- Methodist Jennie Edmundson
- CHI Health Lakeside
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Center, PC | Urology | Current | Accepting new patients |
| Adult & Pediatric Urology, PC | Urology | Current | Accepting new patients |
| Urology Center PC | Urology | Current | Accepting new patients |
| Urology Center PC | Urology | Current | 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
- https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4
- 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.
-
- Urology Physician
- Omaha, NE
- NPI 1114919875
-
- Urology Physician
- Red Oak, IA
- NPI 1053488395
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.