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CAITLIN RENN MD
NPI 1750678231
Pediatrics in Omaha, NE

Active since July 05, 2011PECOS Enrolled
4920 SO 30TH STREET, SUITE 103, OMAHA, NE 68107(402) 734-4110(402) 734-3990 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Caitlin Renn Md NPPES

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

CAITLIN RENN MD (NPI 1750678231) is an individual pediatrics provider in Omaha, Nebraska, licensed in California (C169909) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1750678231
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAITLIN RENNCredential: MD
Location Address4920 SO 30TH STREET, SUITE 103Omaha, NE 68107-1656
Mailing Address7720 N Fresno St Ste 104Fresno, CA 93720-2407 · (559) 438-2300 · Fax (559) 438-1531
Phone(402) 734-4110
Fax(402) 734-3990
Sole ProprietorNo
Enumeration DateJuly 5, 2011
Last NPPES UpdateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1750678231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · C169909✔ Licensed in NE · 6619
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4920 SO 30TH STREET, Omaha, NE 68107
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Secondary Practice Location 1

Location 17720 N Fresno St Ste 104Fresno, CA 93720-2407 · Phone (559) 438-2300 · Fax (559) 438-1531

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caitlin Renn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Caitlin Renn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adventist Health Physicians Network
1,284 mi
Family Medicine
2559 W ROSAMOND BLVD STE D
Rosamond, CA 93560
  • Reassigned Medicare billing, California enrollment
  • 678 clinicians in this Medicare group
NPI 1609633973 (661) 241-6700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JODI M KINTZLE-WYNN APRN
Nurse Practitioner (Family)
4920 SO 30TH STREET, SUITE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
JESSICA DOWNES PHARMD
Pharmacist
4920 SO 30TH STREET, SUITE 103
OMAHA, NE 68107
Douglas County (402) 734-4110

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 Caitlin Renn's NPI number?

The NPI number for Caitlin Renn is 1750678231. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Where is Caitlin Renn located?

Caitlin Renn practices at 4920 So 30th Street Suite 103, Omaha, NE 68107. The listed phone number is (402) 734-4110.

What is Caitlin Renn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Caitlin Renn enrolled in Medicare?

Yes. Caitlin Renn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caitlin Renn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Renn reassigns Medicare benefits to Adventist Health Physicians Network (Rosamond, CA). The 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 Caitlin Renn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Caitlin Renn was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.