Archwell Health Professional Services, P.A. - Medicare Primary Care in Omaha, NE

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Archwell Health Professional Services, P.A. is a medicare enrolled primary clinic (Internal Medicine) in Omaha, Nebraska. The current practice location for Archwell Health Professional Services, P.A. is 3501 S 84th St, Omaha, Nebraska. For appointments, you can reach them via phone at (888) 987-1511. The mailing address for Archwell Health Professional Services, P.A. is 102 Woodmont Blvd Ste 600, Nashville, Tennessee and phone number is (888) 987-1151.

Archwell Health Professional Services, P.A. is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1811695885. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (888) 987-1511.

Contact Information

Archwell Health Professional Services, P.A.
3501 S 84th St
Omaha
NE 68124-4056
(888) 987-1511
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameArchwell Health Professional Services, P.A.
SpecialityInternal Medicine
Location3501 S 84th St, Omaha, Nebraska
Authorized Official Name and PositionLisa Lucas (CHIEF ADMINISTRATIVE OFFICER)
Authorized Official Contact6154199047
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Archwell Health Professional Services, P.A.
102 Woodmont Blvd Ste 600
Nashville
TN 37205-5250

Ph: (888) 987-1151		Archwell Health Professional Services, P.A.
3501 S 84th St
Omaha
NE 68124-4056

Ph: (888) 987-1511

NPI Details:

NPI Number1811695885
Provider Enumeration Date02/20/2023
Last Update Date03/13/2023
Certification Date03/13/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5395192629
Medicare Enrollment IDO20231108002388

Medical Identifiers

Medical identifiers for Archwell Health Professional Services, P.A. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811695885NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine ()Secondary
207R00000XInternal Medicine ()Primary
207RG0300XInternal Medicine - Geriatric Medicine ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Archwell Health Professional Services, P.A. acts as a billing entity for following providers:
Provider NameCordell E Harthoorn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174769301
PECOS PAC ID: 2466424718
Enrollment ID: I20040809000428
Provider NameJacqueline Esch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215948591
PECOS PAC ID: 9335114867
Enrollment ID: I20040830000116
Provider NameJames F Shelton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356490858
PECOS PAC ID: 8820143050
Enrollment ID: I20090911000131
Provider NameMarie Bissell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922393776
PECOS PAC ID: 2668650011
Enrollment ID: I20110707000156
Provider NameRachel Fortney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386989218
PECOS PAC ID: 5496991648
Enrollment ID: I20130415000201
Provider NameAdam P Vossen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497918726
PECOS PAC ID: 8426290305
Enrollment ID: I20130805000794
Provider NameSonia Acharya-gupta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437345329
PECOS PAC ID: 9335265651
Enrollment ID: I20141216001182
Provider NameNicole L Burton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669921342
PECOS PAC ID: 6507144953
Enrollment ID: I20161107000115
Provider NameAmanda L Ball
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104459924
PECOS PAC ID: 9436588662
Enrollment ID: I20210422002838
Provider NameBrooke M Sciuto
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689992737
PECOS PAC ID: 1052633997
Enrollment ID: I20220301001542
Provider NameMaya Manjarrez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558979682
PECOS PAC ID: 1759769474
Enrollment ID: I20220608000394
Provider NameJacqueline Anne Woodrum
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285642199
PECOS PAC ID: 7012801426
Enrollment ID: I20220817003239
Provider NameBrady Ihnen
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1215406830
PECOS PAC ID: 0840662623
Enrollment ID: I20230203000507
Provider NameAdam Fitzgerald
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982831657
PECOS PAC ID: 5395991772
Enrollment ID: I20241114001786
Provider NameNaga Pannala
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1366673352
PECOS PAC ID: 2365743556
Enrollment ID: I20250210001609
Provider NameAlexis Cushman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376218412
PECOS PAC ID: 1052701091
Enrollment ID: I20251013002302
Provider NameJudith Ford
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164495206
PECOS PAC ID: 7416029491
Enrollment ID: I20260227003688
Provider NameDonald Goddard
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134229412
PECOS PAC ID: 4486648664
Enrollment ID: I20260228000487
Provider NameCecile King
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1114361748
PECOS PAC ID: 7517180359
Enrollment ID: I20260312003695
Provider NamePei-chun Mcgregor
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1023231073
PECOS PAC ID: 5890919906
Enrollment ID: I20260530000123
Provider NameAmbreen Mohamed
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1437443637
PECOS PAC ID: 4183944788
Enrollment ID: I20260617004349

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.