Individual provider Active NPI

Noel C Carosella, PAC

  • Physician Assistant
  • La Vista, NE
National Provider Identifier
1891998753
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1732 Issued in NE
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

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NE2 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
I20131113001063 IA Practitioner - Physician Assistant 8527294941 Reassigns benefits to 1 organization
I20140514001870 NE Practitioner - Physician Assistant 8527294941 Reassigns benefits to 2 organizations

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
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

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 Hospital, Omaha, NE, CCN 280040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1732NEMDProfessional Counselor
1070IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc Physician Assistant CurrentSince Jan 31, 2025 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.