NPIMap

Individual provider Active NPI

Michael Lee Beadnell, M.D.

  • Emergency Medicine Physician
  • Omaha, NE
National Provider Identifier
1972815108
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
6347 Issued in NE
Practice address
18710 L St
Omaha, NE 68135-3537
Phone
(402) 885-6892
NPI assigned
Jul 2, 2010
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 6347 NE Primary

Addresses

Primary practice location

18710 L St
Omaha, NE 68135-3537

Mailing address

18710 L St
Omaha, NE 68135-3537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000176 OR Practitioner - Emergency Medicine 9335383801 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oregon Health Sciences University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 3Rd St
Tillamook, OR 97141-3430
Phone (503) 815-2260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.83 of 100Reported as group
Quality
83.85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6347NEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Foundation of Tillamook CurrentSince Nov 23, 2024 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Nov 23, 2024 Accepting new patients
Coquille Valley Hospital District CurrentSince Oct 25, 2024 Accepting new patients
Western Healthcare Services Texas Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Coquille Valley Hospital District CurrentSince Oct 25, 2024 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Jul 1, 2025 Accepting new patients

Locations

940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1972815108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18710 L ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18710 L ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353537",
            "telephone_number": "402-885-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEADNELL",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "6347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.