Individual provider Active NPI

Susan Ulmer, M.D.

  • Obstetrics & Gynecology Physician
  • Omaha, NE
National Provider Identifier
1912312703
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7331 Issued in NE
Practice address
601 N 30TH St
Cu Department of Obstetrics and Gynecology
Omaha, NE 68131-2137
Phone
(402) 717-0947
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7331 NE Primary

Addresses

Primary practice location

601 N 30TH St
Cu Department of Obstetrics and Gynecology
Omaha, NE 68131-2137

Mailing address

601 N 30TH St
Cu Department of Obstetrics and Gynecology
Omaha, NE 68131-2137
Phone (402) 717-0947

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SUSAN.ULMER@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181016000740 CO Practitioner - Obstetrics/Gynecology 8224326145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Colorado School of Medicine, Denver, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Obstetrics and Gynecology LLCGroup PAC ID 4587759972, 62 clinicians

Practice addresses (Care Compare)

10099 Ridgegate Pkwy
Lone Tree, CO 80124-5532

1400 S Potomac St
Suite 225
Aurora, CO 80012-4514
Phone (303) 873-5245

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Obstetrics and Gynecology LLC Obstetrics & Gynecology CurrentSince Sep 4, 2018 Accepting new patients
HCA Healthone LLC Past Accepting new patients
Healthone Clinic Services LLC Obstetrics & Gynecology Past Accepting new patients

Locations

1400 S Potomac St
Ste 225
Denver, CO 80012
Phone (303) 563-2782

10099 Ridgegate Pkwy
Ste 230
Lone Tree, CO 80124
Phone (303) 706-1616

12219 Pine Bluffs Way
Ste 101A
Parker, CO 80134

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1912312703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST",
            "address_2": "CU DEPARTMENT OF OBSTETRICS AND GYNECOLOGY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-717-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST",
            "address_2": "CU DEPARTMENT OF OBSTETRICS AND GYNECOLOGY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-717-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMER",
        "first_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "7331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SUSAN.ULMER@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "601 N 30TH ST",
            "address_2": "CU DEPARTMENT OF OBSTETRICS AND GYNECOLOGY",
            "city": "OMAHA",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681312137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.