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ATLAS MEDICAL NEBRASKA LLC
NPI 1104666536
Family Medicine in Omaha, NE

Active since May 31, 2024
8214 F ST STE C, OMAHA, NE 68127(402) 331-2273(402) 933-4255 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2024, Oct 2, 2024, Jun 4, 2024 (3 updates tracked since 2024).

About Atlas Medical Nebraska Llc NPPES

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

ATLAS MEDICAL NEBRASKA LLC (NPI 1104666536) is a healthcare organization registered as a family medicine in Omaha, Nebraska and active in the NPI registry since May 2024. The organization lists Gregory Mangum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104666536
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameATLAS MEDICAL NEBRASKA LLC
Location Address8214 F ST STE COmaha, NE 68127-1740
Mailing Address8214 F St Ste COmaha, NE 68127-1740 · (402) 331-2273 · Fax (402) 933-4255
Phone(402) 331-2273
Fax(402) 933-4255
Organization SubpartNo
Authorized OfficialGregory MangumCeo · (435) 514-5646
Enumeration DateMay 31, 2024
Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1104666536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
8214 F ST STE C, Omaha, NE 68127
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlas Medical Nebraska Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Atlas Medical Nebraska LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Taylor Farrell
Nurse Practitioner
NPI 1659185387
8214 F ST STE C
Omaha, NE 68127
(402) 509-2555
✔ PECOS✔ Accepts MedicareSame address
Nicole Detweiler
Nurse Practitioner
NPI 1386482834
4101 WOOLWORTH AVE
Omaha, NE 68105
(800) 451-5796
✔ PECOS✔ Accepts Medicare5.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Atlas Medical Nebraska LLC's NPI number?

The NPI number for Atlas Medical Nebraska LLC is 1104666536. It was assigned to this organization in the NPPES registry on May 31, 2024.

Where is Atlas Medical Nebraska LLC located?

Atlas Medical Nebraska LLC is located at 8214 F St Ste C, Omaha, NE 68127. The listed phone number is (402) 331-2273.

What is Atlas Medical Nebraska LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Atlas Medical Nebraska LLC enrolled in Medicare?

Yes. Atlas Medical Nebraska LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlas Medical Nebraska LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Atlas Medical Nebraska LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Atlas Medical Nebraska LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Atlas Medical Nebraska LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Atlas Medical Nebraska LLC was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.