NPIMap

Organization Active NPI

Nebraska Medical Clinics PLLC

  • Primary Care Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1952289571
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
NEBRASKA MEDICAL CLINICS PLLC
Practice address
14404 Stoney Brook Blvd
Omaha, NE 68137-2613
Phone
(512) 506-8503
NPI assigned
Aug 22, 2025
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Nicole Campbell
Title
Director of Patient Access
Phone
(512) 948-1752

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU
General Practice Physician 208D00000X NU
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

14404 Stoney Brook Blvd
Omaha, NE 68137-2613

Mailing address

1860 S Lakeline Blvd
Cedar Park, TX 78613-3872
Phone (512) 506-8503

Other practice location 1

529 Pinnacle Dr
Papillion, NE 68046-6242
Phone (512) 885-0418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260312002833 NE Part B Supplier - Clinic/Group Practice 0749763241 Receives reassigned benefits from 8 practitioners
Practice locations: Omaha, NE; Papillion, NE

National Provider Directory

National Provider Directory

Locations

14404 Stoney Brook Blvd
#A
Omaha, NE 68137
Phone (402) 279-1960

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1952289571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 S LAKELINE BLVD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133872",
            "telephone_number": "512-506-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14404 STONEY BROOK BLVD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372613",
            "telephone_number": "512-506-8503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 Pinnacle Dr",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680466242",
            "country_code": "US",
            "telephone_number": "512-885-0418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEBRASKA MEDICAL CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCESS",
        "authorized_official_telephone_number": "512-948-1752"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "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 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.