SAMUEL JAMES OCKERHAUSEN MD
NPI 1376436394
Student in an Organized Health Care Education/Training Program in Omaha, NE

Q: What is Samuel Ockerhausen's NPI number?

The NPI number for Samuel Ockerhausen is 1376436394. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Q: What is Samuel Ockerhausen's specialty?

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

Active since May 29, 2025PECOS Enrolled

983075 NEBRASKA MEDICAL CTR, OMAHA, NE 68198(402) 559-7200 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2025, May 29, 2025 (2 updates tracked since 2025).

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About Samuel James Ockerhausen Md NPPES

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

SAMUEL JAMES OCKERHAUSEN MD (NPI 1376436394) is an individual student in an organized health care education/training program in Omaha, Nebraska and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Offutt Afb.

NPPES Registry Identity

NPI1376436394

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL JAMES OCKERHAUSENCredential: MD

Location Address983075 NEBRASKA MEDICAL CTROmaha, NE 68198-3075

Mailing Address983075 Nebraska Medical CtrOmaha, NE 68198-3075 · (402) 559-7200

Phone(402) 559-7200

Sole ProprietorNo

Enumeration DateMay 29, 2025

Last NPPES UpdateJune 12, 20252 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1376436394 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.

983075 NEBRASKA MEDICAL CTR, Omaha, NE 68198

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Secondary Practice Location 1

Location 12501 Capehart RdOffutt AFB, NE 68113-1043 · Phone (402) 294-2056 · Fax (402) 232-8856

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel James Ockerhausen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. MANISHA ASHOK JAIN MBBS

Family Medicine