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METHODIST PHYSICIANS CLINIC
NPI 1013290477
Durable Medical Equipment & Medical Supplies in Omaha, NE

Active since September 22, 2011CLIA 28D0687931 · Accreditation
515 N 162ND AVE, STE. 300, OMAHA, NE 68118(402) 393-6624(402) 393-6635 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Methodist Physicians Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

METHODIST PHYSICIANS CLINIC (NPI 1013290477) is a healthcare organization registered as a durable medical equipment & medical supplies in Omaha, Nebraska and active in the NPI registry since September 2011. The organization holds an CLIA Accreditation certificate valid through June 2, 2027 and lists Todd D Grages, President, as its authorized official.

NPPES Registry Identity

NPI1013290477
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePHYSICIANAS CLINIC, INC.
Location Address515 N 162ND AVE, STE. 300Omaha, NE 68118-2539
Mailing Address8601 W Dodge Rd, Suite #216Omaha, NE 68114-3457 · (402) 354-5451 · Fax (402) 354-5454
Phone(402) 393-6624
Fax(402) 393-6635
Organization SubpartYesParent: Ne Methodist Health System
Authorized OfficialTodd D GragesPresident · (402) 354-5609
Enumeration DateSeptember 22, 2011
✔ NPI 1013290477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
515 N 162ND AVE, Omaha, NE 68118
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Other Names 1

Doing Business AsMethodist Physicians Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 28D0687931

Methodist Physicians Clinic - Healthwest · Omaha, NE
Active · expires Jun 2, 2027
CLIA Number28D0687931
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorMrs. Elizabeth Schoenecker
Laboratory Phone(402) 354-0535
Laboratory LocationMethodist Physicians Clinic - Healthwest16120 W Dodge Road, Omaha, NE 68118
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATHRYN JANE BRAND APRN
Nurse Practitioner (Family)
515 N 162ND AVE, SUITE # 301
OMAHA, NE 68118
Douglas County (402) 354-7320
SCOTT P. WATTENHOFER M.D.
Surgery (Vascular Surgery)
515 N 162ND AVE, SUITE 300
OMAHA, NE 68118
Douglas County (402) 393-6624
KAILYN ELIZABETH KENNETT
Nurse Practitioner (Family)
515 N 162ND AVE
OMAHA, NE 68118
Douglas County (402) 354-7320
BRIDGET M WIECZOREK CNM
Advanced Practice Midwife
515 N 162ND AVE, SUITE 102
OMAHA, NE 68118
Douglas County (402) 397-6600
MRS. JANIS KAY COLE APRN
Nurse Practitioner (Family)
515 N 162ND AVE, SUITE # 301
OMAHA, NE 68118
Douglas County (402) 354-7320
EUGENE A. WALTKE M.D.
Surgery (Vascular Surgery)
515 N 162ND AVE, SUITE 300
OMAHA, NE 68118
Douglas County (402) 393-6624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physicianas Clinic, Inc.'s NPI number?

The NPI number for Physicianas Clinic, Inc. is 1013290477. It was assigned to this organization in the NPPES registry on September 22, 2011. The provider is doing business as Methodist Physicians Clinic.

Where is Physicianas Clinic, Inc. located?

Physicianas Clinic, Inc. is located at 515 N 162nd Ave Ste. 300, Omaha, NE 68118. The listed phone number is (402) 393-6624.

What is Physicianas Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Physicianas Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 28D0687931) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Physicianas Clinic, Inc. was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.