PATRICK R. PICK PA-C
NPI 1174920441
Physician Assistant - Medical in Omaha, NE

Active since December 02, 2014Opted out of Medicare · through Oct 1, 2026
8303 DODGE ST, SUITE 304, OMAHA, NE 68114(402) 354-5048(402) 354-2585 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 28, 2016, Dec 2, 2015, Nov 25, 2015 (3 updates tracked since 2015).

About Patrick R. Pick Pa-c NPPES

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

PATRICK R. PICK PA-C (NPI 1174920441) is an individual medical provider in Omaha, Nebraska, licensed in Nebraska (2019) and active in the NPI registry since December 2014. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174920441
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePATRICK R. PICKCredential: PA-C
Location Address8303 DODGE ST, SUITE 304Omaha, NE 68114-4108
Mailing AddressPo Box 10190Virginia Beach, VA 23450-0190 · (800) 477-5240 · Fax (757) 216-1638
Fax(402) 354-2585
Sole ProprietorNo
Enumeration DateDecember 2, 2014
Last NPPES UpdateAugust 5, 20163 updates tracked since enumeration
NPI 1174920441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NE · 2019
8303 DODGE ST, Omaha, NE 68114

Other Identifiers 3

Medicaid117492044IA
Medicaid10025044400NE
Medicare PIN099447009NE

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Patrick R. Pick Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
8303 DODGE ST
OMAHA, NE 68114
Hospitalist
8303 DODGE ST
OMAHA, NE 68114
Surgery
8303 DODGE ST, SUITE # 304
OMAHA, NE 68114
Counselor (Professional)
8303 DODGE ST
OMAHA, NE 68114
Pathology (Anatomic Pathology & Clinical Pathology)
8303 DODGE ST
OMAHA, NE 68114
Physician Assistant (Medical)
8303 DODGE ST, SUITE # 304
OMAHA, NE 68114
Pharmacist
8303 DODGE ST, PHARMACY DEPARTMENT
OMAHA, NE 68114
Hospitalist
8303 DODGE ST
OMAHA, NE 68114

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 Patrick Pick's NPI number?

The NPI number for Patrick Pick is 1174920441. It was assigned to this individual provider in the NPPES registry on December 2, 2014.

Where is Patrick Pick located?

Patrick Pick practices at 8303 Dodge St Suite 304, Omaha, NE 68114. The listed phone number is (402) 354-5048.

What is Patrick Pick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Patrick Pick enrolled in Medicare?

No. Patrick Pick has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Patrick Pick was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.