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MEDIFAST URGENT CARE LLC
NPI 1124963434
Family Medicine in Omaha, NE

Active since April 22, 2026CLIA 28D1070689 · Waiver
3830 N 167TH CT, OMAHA, NE 68116(402) 965-4000(402) 965-4001 Get Directions Write a Review

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

About Medifast Urgent Care Llc NPPES

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

MEDIFAST URGENT CARE LLC (NPI 1124963434) is a healthcare organization registered as a family medicine in Omaha, Nebraska and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Jon Robert Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1124963434
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDIFAST URGENT CARE LLC
Location Address3830 N 167TH CTOmaha, NE 68116-8064
Mailing Address3830 N 167th CtOmaha, NE 68116-8064 · (402) 965-4000 · Fax (402) 965-4001
Phone(402) 965-4000
Fax(402) 965-4001
Organization SubpartYes
Authorized OfficialJon Robert WilsonOwner · (402) 965-4000
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1124963434 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.
3830 N 167TH CT, Omaha, NE 68116
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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

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 Waiver 28D1070689

Midwest Urgent Care, LLC · Omaha, NE
Active · expires Apr 30, 2027
CLIA Number28D1070689
Laboratory TypeUrgent Care
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorKristi J. Kranz
Laboratory Phone(402) 965-4000
Laboratory LocationMidwest Urgent Care, LLC3830 North 167th Court, Omaha, NE 68116
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

URGENT CARE OF OMAHA
Clinic/Center (Urgent Care)
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 965-4000
KRISTI J WILSON APRN
Nurse Practitioner (Family)
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 965-4000
GRACE HALDER PT, DPT
Physical Therapist
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 502-2290
MEDIFAST URGENT CARE LLC
Clinic/Center (Urgent Care)
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 965-4000
NICOLE MARIE SEARS PA-C
Physician Assistant
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 965-4000
AMANDA R. MILLEMON PA-C
Physician Assistant
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 965-4000
RILEY RISCHLING
Physical Therapist
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 502-2290
OMAHA BARIATRIC MEDICINE , P.C.
Family Medicine (Obesity Medicine)
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 496-7192

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 Medifast Urgent Care LLC's NPI number?

The NPI number for Medifast Urgent Care LLC is 1124963434. It was assigned to this organization in the NPPES registry on April 22, 2026.

Where is Medifast Urgent Care LLC located?

Medifast Urgent Care LLC is located at 3830 N 167th Ct, Omaha, NE 68116. The listed phone number is (402) 965-4000.

What is Medifast Urgent Care LLC's specialty?

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

Does Medifast Urgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1070689) is associated with this NPI, valid through April 30, 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 Medifast Urgent Care LLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.