PROVIDENCE MEDICAL CENTER
NPI 1699556647
Clinic/Center - Primary Care in Wayne, NE
About Providence Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE MEDICAL CENTER (NPI 1699556647), doing business as Providence Medical Center Clinic, is a healthcare organization registered as a primary care in Wayne, Nebraska and active in the NPI registry since October 2023. The organization lists Danielle Gearhart, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Providence Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
55Medicare enrollment records show 55 clinicians reassign Medicare billing to Providence Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 20
Nearest to this location (20)
See all 55Source: 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 Providence Medical Center's NPI number?
The NPI number for Providence Medical Center is 1699556647. It was assigned to this organization in the NPPES registry on October 6, 2023. The provider is doing business as Providence Medical Center Clinic.
Where is Providence Medical Center located?
Providence Medical Center is located at 1200 Providence Rd, Wayne, NE 68787. The listed phone number is (402) 375-3800.
What is Providence Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Providence Medical Center enrolled in Medicare?
Yes. Providence Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 55 clinicians in 20 Medicare specialties reassign their Medicare billing to Providence Medical Center. 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 Pulmonary Disease (16), Family Practice (10) and Nurse Practitioner (9). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Providence Medical Center accept?
Health plans from Blue Cross and Blue Shield of Nebraska list Providence Medical Center 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 Providence Medical Center was last updated on October 6, 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.
# Providence Medical Center · NPI 1699556647
Primary Care organization in Wayne, Nebraska. Organization record, active in the CMS NPPES registry since October 6, 2023.
## Identity
- **NPI:** 1699556647 (Entity type: Organization)
- **Enumerated:** October 6, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Providence Medical Center Clinic (Doing Business As)
- **Organization subpart:** Yes (part of Providence Medical Center)
- **Authorized official:** Danielle Gearhart, CEO
## Practice location
- **Address:** 1200 PROVIDENCE RD, Wayne, NE 68787-1212
- **Phone:** (402) 375-3800 · **Fax:** (402) 375-7610
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 55 clinicians in 20 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pulmonary Disease (16), Family Practice (10), Nurse Practitioner (9); 1 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1699556647/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1699556647) · Data from the CMS NPPES public registry.