Active NPI
Noel C Carosella, PAC
- Physician Assistant
- La Vista, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1732
- Practice address
- 8248 S 96TH St
La Vista, NE 68128-3126 - Phone
- (402) 398-6254
- Fax
- (402) 829-8513
- NPI assigned
- Jun 7, 2007
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1070 | IA | |
| Physician Assistant | 363A00000X | 1732 | NE | Primary |
Addresses
Primary practice location
8248 S 96TH St
La Vista, NE 68128-3126
Mailing address
PO Box 642117
Omaha, NE 68164-8117
Phone (402) 398-6254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570
10710 Fort St
Omaha, NE 68134-1230
Phone (402) 354-7500
Hospital & facility affiliations
- The Nebraska Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1732 | NE | MD | Professional Counselor |
| 1070 | IA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Physician Assistant | Current | Accepting new patients |
Locations
808 E Pierce St
Council Bluffs, IA 51503
Phone (712) 396-4340
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801
1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000
201 Ridge St
Ste 302
Council Bluffs, IA 51503
Phone (712) 322-5532
1240 E 23rd St
Fremont, NE 68025
Phone (402) 721-8668
11946 Standing Stone Dr
Gretna, NE 68028
Phone (402) 815-4500
312 S 15th St
Omaha, NE 68102
Phone (402) 354-2273
6700 Mercy Rd
Ste 109
Omaha, NE 68106
Phone (402) 354-2273
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
5908 S 142nd St
Omaha, NE 68137
Phone (402) 354-1900
825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370
101 E Centennial Rd
Papillion, NE 68046
Phone (402) 354-7750
Organizations & group practices 2
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
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1891998753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 642117",
"city": "OMAHA",
"state": "NE",
"postal_code": "681648117",
"telephone_number": "402-398-6254",
"fax_number": "402-829-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8248 S 96TH ST",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681283126",
"telephone_number": "402-398-6254",
"fax_number": "402-829-8513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROSELLA",
"first_name": "NOEL",
"middle_name": "C",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "1070",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "1732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Vista, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.