SURGERY CENTER OF FREMONT, LLC
NPI 1437102241
Clinic/Center - Ambulatory Surgical in Fremont, NE

Active since May 19, 2006CLIA 28D0966700 · Waiver
2727 N CLARKSON ST, FREMONT, NE 68025(402) 727-8500(402) 721-1065 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 28, 2022, Jan 17, 2020 (2 updates tracked since 2020).

About Surgery Center Of Fremont, Llc NPPES

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

SURGERY CENTER OF FREMONT, LLC (NPI 1437102241) is a healthcare organization registered as an ambulatory surgical in Fremont, Nebraska and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1437102241
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF FREMONT, LLC
Location Address2727 N CLARKSON STFremont, NE 68025-7713
Mailing Address2727 N Clarkson StFremont, NE 68025-7713 · (402) 727-8500 · Fax (402) 721-1065
Fax(402) 721-1065
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 28, 20222 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
✔ NPI 1437102241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in NE · ASC007
2727 N CLARKSON ST, Fremont, NE 68025

Other Identifiers 2

Medicaid1002537100NE
OtherP00302981Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surgery Center Of Fremont, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNebraskaEnrollment IDO20060109000289Non-DME Part B · Ambulatory Surgical CenterDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Surgery Center Of Fremont, LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Anesthesiology
NPI 1316996051
450 E 23RD ST
Fremont, NE 68025
(402) 727-7990
✔ PECOS✔ Accepts Medicare0.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1710207550
450 E 23RD ST
Fremont, NE 68025
(402) 721-1610
✔ PECOS✔ Accepts Medicare0.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811066327
450 E 23RD ST
Fremont, NE 68025
(402) 727-3396
✔ Accepts Medicare0.6 mi
Anesthesiology
NPI 1962451633
450 E 23RD ST
Fremont, NE 68025
(402) 727-7990
✔ PECOS✔ Accepts Medicare0.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881935450
450 E 23RD ST
Fremont, NE 68025
(402) 727-3396
✔ Accepts Medicare0.6 mi
Anesthesiology
NPI 1356391296
7801 WAKELEY PLAZA
Omaha, NE 68114
(402) 391-4855
✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 28D0966700

Surgery Center Of Fremont LLC · Fremont, NE
Active · expires Oct 24, 2027
CLIA Number28D0966700
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorAnsar U. Khan, MD
Laboratory Phone(402) 727-5000
Laboratory LocationSurgery Center Of Fremont LLC2727 North Clarkson Street, Fremont, NE 68025
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
3,100 services20 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
283 services246 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
62 services62 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
52 services52 patients
Shock wave crushing of kidney stones 50590
Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.
44 services30 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
44 services27 patients

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 Surgery Center Of Fremont, LLC's NPI number?

The NPI number for Surgery Center Of Fremont, LLC is 1437102241. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Surgery Center Of Fremont, LLC located?

Surgery Center Of Fremont, LLC is located at 2727 N Clarkson St, Fremont, NE 68025. The listed phone number is (402) 727-8500.

What is Surgery Center Of Fremont, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Surgery Center Of Fremont, LLC enrolled in Medicare?

Yes. Surgery Center Of Fremont, LLC is registered in the Medicare PECOS enrollment system.

When is Surgery Center Of Fremont, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nebraska, Ambulatory Surgical Center) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Surgery Center Of Fremont, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Surgery Center Of Fremont, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Anesthesiology (3) and Certified Registered Nurse Anesthetist (CRNA) (3). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Surgery Center Of Fremont, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0966700) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Center Of Fremont, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Surgery Center Of Fremont, LLC 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 Surgery Center Of Fremont, LLC was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.