Individual provider Active NPI

Nicholas Paul Schuller

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1992470439
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2886 Issued in NE
Practice address
4908 Cass St
Omaha, NE 68132-2913
Phone
(402) 249-6136
Fax
(402) 502-6823
NPI assigned
Aug 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA.0006843 CO
Pain Medicine Physician 208VP0000X PA.0006843 CO
Family Medicine Physician 207Q00000X 2886 NE Primary

Addresses

Primary practice location

4908 Cass St
Omaha, NE 68132-2913

Mailing address

15335 Holbein Dr
Colorado Springs, CO 80921-2517
Phone (402) 314-2835

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20231025000817 NE Practitioner - Physician Assistant 0749676658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homaha Senior Care LLCGroup PAC ID 0244593747, 4 clinicians

Practice addresses (Care Compare)

1540 N 72ND St
Omaha, NE 68114-1924
Phone (402) 393-6500

4908 Cass St
Omaha, NE 68132-2913
Phone (402) 249-6136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2886NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC Family Medicine CurrentSince Jun 10, 2026 Accepting new patients

Locations

318 W 18th St
#1110
Cozad, NE 69130

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1992470439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15335 HOLBEIN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212517",
            "telephone_number": "402-314-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 CASS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322913",
            "telephone_number": "402-249-6136",
            "fax_number": "402-502-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULLER",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "PA.0006843",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CO",
            "license": "PA.0006843",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "2886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.