BEAU JAMES CONDIE DO
NPI 1265069462
Student in an Organized Health Care Education/Training Program in Omaha, NE

Q: What is Beau Condie's NPI number?

The NPI number for Beau Condie is 1265069462. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Beau Condie's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Beau Condie was last updated on March 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

1319 LEAVENWORTH ST, OMAHA, NE 68102(402) 552-3222(402) 552-2172 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Beau James Condie Do NPPES

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

BEAU JAMES CONDIE DO (NPI 1265069462) is an individual student in an organized health care education/training program in Omaha, Nebraska and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1265069462

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBEAU JAMES CONDIECredential: DO

Location Address1319 LEAVENWORTH STOmaha, NE 68102-3215

Mailing Address1319 Leavenworth StOmaha, NE 68102-3215 · (402) 552-3222 · Fax (402) 552-2172

Phone(402) 552-3222

Fax(402) 552-2172

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 26, 2020

NPPES CertifiedMarch 26, 2020

✔ NPI 1265069462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1319 LEAVENWORTH ST, Omaha, NE 68102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Beau James Condie Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002235033

PECOS Enrollment IDI20230828002179

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

35 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Medical Center

Acute Care Hospitals · Murray, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460010

Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County

Emergency services Birthing friendly

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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.

ADENIKE RASHEEDAT SULAIMAN MBBS

Student in an Organized Health Care Education/Training Program