CITY OF GENOA
NPI 1104859206
Clinic/Center - Primary Care in Genoa, NE
About City Of Genoa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CITY OF GENOA (NPI 1104859206) is a healthcare organization registered as a primary care in Genoa, Nebraska and active in the NPI registry since July 2006. The organization lists Amanda Roebuck, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
City Of Genoa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to City Of Genoa, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (9)
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 City Of Genoa's NPI number?
The NPI number for City Of Genoa is 1104859206. It was assigned to this organization in the NPPES registry on July 9, 2006.
Where is City Of Genoa located?
City Of Genoa is located at 505 S Park St, Genoa, NE 68640. The listed phone number is (402) 993-2206.
What is City Of Genoa's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is City Of Genoa enrolled in Medicare?
Yes. City Of Genoa is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through City Of Genoa?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to City Of Genoa. 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. The largest specialties are Nurse Practitioner (5), Family Practice (2) and Physical Therapist in Private Practice (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for City Of Genoa was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# City Of Genoa · NPI 1104859206
Primary Care organization in Genoa, Nebraska. Organization record, active in the CMS NPPES registry since July 9, 2006.
## Identity
- **NPI:** 1104859206 (Entity type: Organization)
- **Enumerated:** July 9, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Amanda Roebuck, CEO
## Practice location
- **Address:** 505 S PARK ST, Genoa, NE 68640-3036
- **Phone:** (402) 993-2206 · **Fax:** (402) 993-2595
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (2), Physical Therapist in Private Practice (2); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2020
- **Other identifiers:** Other 273722254 (NE); Medicaid 10025924300 NRH (NE); Other CS4410 (NE); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1104859206) · Data from the CMS NPPES public registry.