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BEAU ANTHONY CADDELL PLMHP
NPI 1417655325
Counselor - Mental Health in Omaha, NE

Active since February 20, 2023PECOS EnrolledAccepts Medicare Assignment
15705 W. DODGE ROAD, SUITE 102, OMAHA, NE 68118(402) 575-5577 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Feb 20, 2023 (2 updates tracked since 2023).

About Beau Anthony Caddell Plmhp NPPES

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

BEAU ANTHONY CADDELL PLMHP (NPI 1417655325) is an individual mental health provider in Omaha, Nebraska, licensed in Nebraska (13318) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417655325
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBEAU ANTHONY CADDELLCredential: PLMHP
Location Address15705 W. DODGE ROAD, SUITE 102Omaha, NE 68118
Mailing Address2835 S 107th AveOmaha, NE 68124-2445 · (712) 216-0164
Phone(402) 575-5577
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 20, 2023
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1417655325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NE · 13318
15705 W. DODGE ROAD, Omaha, NE 68118
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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 Anthony Caddell Plmhp 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 ID3779065834
PECOS Enrollment IDI20260306002349
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.

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 Beau Caddell's NPI number?

The NPI number for Beau Caddell is 1417655325. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Where is Beau Caddell located?

Beau Caddell practices at 15705 W. Dodge Road Suite 102, Omaha, NE 68118. The listed phone number is (402) 575-5577.

What is Beau Caddell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Beau Caddell enrolled in Medicare?

Yes. Beau Caddell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Beau Caddell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Beau Caddell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beau Caddell was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.