ADVANCED VASCULAR AND VEIN CENTER LLC
NPI 1679767610
Surgery - Vascular Surgery in Omaha, NE

Active since September 04, 2007
17404 BURKE ST STE 102, OMAHA, NE 68118(531) 466-4260(531) 466-4304 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 4, 2022, Feb 16, 2017 (2 updates tracked since 2017).

About Advanced Vascular And Vein Center Llc NPPES

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

ADVANCED VASCULAR AND VEIN CENTER LLC (NPI 1679767610) is a healthcare organization registered as a vascular surgery in Omaha, Nebraska and active in the NPI registry since September 2007. The organization maintains a secondary practice location in Omaha and lists Jackie Mcdermott, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679767610
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameADVANCED VASCULAR AND VEIN CENTER LLC
Location Address17404 BURKE ST STE 102Omaha, NE 68118-2242
Mailing Address17404 Burke St Ste 102Omaha, NE 68118-2242 · (531) 466-4260 · Fax (531) 466-4304
Fax(531) 466-4304
Organization SubpartNo
Authorized OfficialJackie McdermottOffice Manager · (402) 552-3015
Enumeration DateSeptember 4, 2007
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1679767610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X
17404 BURKE ST STE 102, Omaha, NE 68118

Secondary Practice Location 1

Location 117404 Burke St # 106Omaha, NE 68118-2239 · Phone (531) 466-4260 · Fax (531) 466-4304

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)

Advanced Vascular And Vein Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Vascular And Vein Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Vascular Surgery
NPI 1902300510
17404 BURKE ST STE 102
Omaha, NE 68118
(531) 466-4260
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1033159850
17404 BURKE ST STE 102
Omaha, NE 68118
(531) 466-4260
✔ PECOS✔ Accepts MedicareSame address
Interventional Radiology
NPI 1205804267
981045 NEBRASKA MEDICAL CTR
Omaha, NE 68198
(402) 559-1343
✔ PECOS✔ Accepts Medicare2.4 mi
Interventional Radiology
NPI 1821251083
4242 FARNAM ST STE 490
Omaha, NE 68131
(402) 552-3015
✔ PECOS✔ Accepts Medicare11 mi

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

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 Advanced Vascular And Vein Center LLC's NPI number?

The NPI number for Advanced Vascular And Vein Center LLC is 1679767610. It was assigned to this organization in the NPPES registry on September 4, 2007.

Where is Advanced Vascular And Vein Center LLC located?

Advanced Vascular And Vein Center LLC is located at 17404 Burke St Ste 102, Omaha, NE 68118. The listed phone number is (531) 466-4260.

What is Advanced Vascular And Vein Center LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Advanced Vascular And Vein Center LLC enrolled in Medicare?

Yes. Advanced Vascular And Vein Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Vascular And Vein Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Advanced Vascular And Vein Center LLC, in Interventional Radiology and Vascular Surgery. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Vascular And Vein Center LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Advanced Vascular And Vein Center 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 Advanced Vascular And Vein Center LLC was last updated on October 4, 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.