Active NPI
Nicholas Paul Schuller
- Family Medicine Physician
- Omaha, NE
National Provider Identifier
1992470439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2886
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2886 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Medical PC | Family Medicine | Current | 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Omaha, NE
- NPI 1033616081
-
- General Practice Physician
- Omaha, NE
- NPI 1154002533
-
- Family Medicine Physician
- Bristol, RI
- NPI 1407483175
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.