PRIMARY CARE PHYSICIANS, LLP
NPI 1649230426
General Practice in Omaha, NE

Active since March 24, 2006CLIA 28D0454559 · Certificate of Compliance
12728 AUGUSTA AVE, OMAHA, NE 68144(402) 330-1410(402) 330-4294 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Primary Care Physicians, Llp NPPES

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

PRIMARY CARE PHYSICIANS, LLP (NPI 1649230426) is a healthcare organization registered as a general practice in Omaha, Nebraska and active in the NPI registry since March 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 13, 2027 and lists Jorden Bazar, Business Administrator, as its authorized official.

NPPES Registry Identity

NPI1649230426
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePRIMARY CARE PHYSICIANS, LLP
Location Address12728 AUGUSTA AVEOmaha, NE 68144-3754
Mailing Address12728 Augusta AveOmaha, NE 68144-3754 · (402) 330-1410 · Fax (402) 330-7139
Fax(402) 330-4294
Organization SubpartNo
Authorized OfficialJorden BazarBusiness Administrator · (402) 330-1414
Enumeration DateMarch 24, 2006
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1649230426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12728 AUGUSTA AVE, Omaha, NE 68144

Other Identifiers 2

Medicaid0550764IA
Other28D0454559Clia Id Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Primary Care Physicians, Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Primary Care Physicians, LLP, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1790327195
12728 AUGUSTA AVE FL 2
Omaha, NE 68144
(402) 330-1410
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1104911296
12728 AUGUSTA AVENUE
Omaha, NE 68144
(402) 330-1410
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1184688939
12728 AUGUSTA AVE FL 2
Omaha, NE 68144
(402) 330-1410
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093196909
12728 AUGUSTA AVE
Omaha, NE 68144
(402) 330-1410
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1962594390
5908 S 142ND ST
Omaha, NE 68137
(402) 354-1900
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1992035778
3135 W BROADWAY
Council Bluffs, IA 51501
(712) 328-9100
✔ PECOS✔ Accepts Medicare12 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 Compliance 28D0454559

Primary Care Physicians LLP · Omaha, NE
Active · expires Dec 13, 2027
CLIA Number28D0454559
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorMs. Frances C. Krueger
Laboratory Phone(402) 330-1410
Laboratory LocationPrimary Care Physicians LLP12728 Augusta Avenue, Omaha, NE 68144
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Primary Care Physicians, LLP's NPI number?

The NPI number for Primary Care Physicians, LLP is 1649230426. It was assigned to this organization in the NPPES registry on March 24, 2006.

Where is Primary Care Physicians, LLP located?

Primary Care Physicians, LLP is located at 12728 Augusta Ave, Omaha, NE 68144. The listed phone number is (402) 330-1410.

What is Primary Care Physicians, LLP's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Primary Care Physicians, LLP enrolled in Medicare?

Yes. Primary Care Physicians, LLP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Care Physicians, LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Primary Care Physicians, LLP. 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 Nurse Practitioner (3), Family Practice (2) and Emergency Medicine (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Primary Care Physicians, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 28D0454559) is associated with this NPI, valid through December 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Care Physicians, LLP accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Primary Care Physicians, LLP 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 Primary Care Physicians, LLP was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.