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NPI · 1487950945 · NPPES-sourced

Mallory Pottebaum PA-C

ActivePhysician Assistant
NPI Number
1487950945
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(402) 559-5600
License NE · 1997
Last Updated
Enumerated
Primary practice addressNE · 68198-0001
505 S. 45th StOmaha, NE 68198-0001
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Also known as

  • Formerly known asJohnson, Mallory Leigh

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1487950945 is registered to Mallory Pottebaum PA-C, a Physician Assistant practising at 505 S. 45th St in Omaha, Nebraska. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mallory Pottebaum PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2011.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mallory Pottebaum PA-C accepts. To confirm in-network status with your specific health plan, contact Mallory Pottebaum PA-C directly at (402) 559-5600.

Frequently asked

Yes. NPI 1487950945 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (402) 559-5600.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mallory Pottebaum PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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