NEBRASKA WELLNESS GROUP
NPI 1154190338
Family Medicine in Omaha, NE
NPI Status: Active since December 28, 2023
Contact Information
11837 MIRACLE HILLS DR STE 200
OMAHA, NE
ZIP 68154
Phone: (402) 218-1242
Fax: (402) 218-1243
- Organization
- Family Medicine
- CLIA Number: 28D2313520
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-31-2026
About NEBRASKA WELLNESS GROUP
This page provides the complete NPI Profile along with additional information for Nebraska Wellness Group, a primary care provider established in Omaha, Nebraska operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1154190338 assigned on December 2023. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Nebraska Wellness Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Nebraska Wellness Group. The authorized official of this NPI record is Mr. Izaak H Colgrove (Assoc. Director Of Operations)
- NPI
- 1154190338
- Provider Legal Name
- NEBRASKA WELLNESS GROUP
- Other Organization Name
- NEBRASKA WELLNESS GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11837 MIRACLE HILLS DR STE 200 OMAHA, NE 68154
- Location Phone
- (402) 218-1242
- Location Fax
- (402) 218-1243
- Mailing Address
- 4848 S 120TH ST STE 210 OMAHA, NE 68137
- Mailing Phone
- (402) 218-1242
- Mailing Fax
- (402) 218-1243
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-28-2023
- Last Update Date
- 11-25-2024
- Code Navigator
A primary care provider (PCP) like Nebraska Wellness Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 2083B0002X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
| 3 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 28D2313520
- Facility Type
- Physician Office
- Certificate Effective Date
- November 01, 2024
- Certificate Expiration Date
- October 31, 2026
- Laboratory Director
- IZAAK COLGROVE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Nebraska Wellness Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 1 | 9 | 0 | 3 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 2 | 9 | 0 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 2 + 9 + 0 + 3 + 6 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1154190338 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821822198 | GABRIEL PHILIP DREISBACH APRN Individual | Nurse Practitioner (Family) | 11837 MIRACLE HILLS DR STE 200 OMAHA, NE 68154 (402) 218-1242 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154190338, enumerated in the NPI registry as an "organization" on December 28, 2023
The provider is located at 11837 Miracle Hills Dr Ste 200 Omaha, Ne 68154 and the phone number is (402) 218-1242
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 28D2313520 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 28, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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