PURE INFUSION OF NEBRASKA LLC
NPI 1760364145
Clinic/Center - Multi-Specialty in Omaha, NE

Active since July 24, 2025
3125 N 120TH ST, OMAHA, NE 68164(402) 281-0880 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pure Infusion Of Nebraska Llc NPPES

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

PURE INFUSION OF NEBRASKA LLC (NPI 1760364145) is a healthcare organization registered as a multi-specialty in Omaha, Nebraska and active in the NPI registry since July 2025. The organization lists Rachel Fraga, Director Of Payer Deveolopment, as its authorized official.

NPPES Registry Identity

NPI1760364145
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePURE INFUSION OF NEBRASKA LLC
Location Address3125 N 120TH STOmaha, NE 68164-2527
Mailing Address4179 S Riverboat Rd Ste 220Taylorsville, UT 84123-2986 · (801) 590-9267
Organization SubpartNo
Authorized OfficialRachel FragaDirector Of Payer Deveolopment · (801) 921-6325
Enumeration DateJuly 24, 2025
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1760364145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
3125 N 120TH ST, Omaha, NE 68164

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)

Pure Infusion Of Nebraska Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Pure Infusion Of Nebraska LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1487915559
11810 NICHOLAS ST SUITE 101
Omaha, NE 68154
(402) 307-5510
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1821457284
9218 KIMMER DR STE 207
Lone Tree, CO 80124
(720) 493-9006
✔ PECOS478 mi
Nurse Practitioner
NPI 1508747627
100 BROOKSHIRE BLVD UNIT 1
Billings, MT 59102
(406) 702-1327
✔ PECOS698 mi
Nurse Practitioner
NPI 1942915137
2525 S TELSHOR BLVD STE 15-202
Las Cruces, NM 88011
(888) 209-8874
✔ PECOS✔ Accepts Medicare855 mi
Emergency Medicine
NPI 1578882759
1380 E MEDICAL CENTER DR
St George, UT 84790
(435) 251-1000
✔ PECOS✔ Accepts Medicare978 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 Pure Infusion Of Nebraska LLC's NPI number?

The NPI number for Pure Infusion Of Nebraska LLC is 1760364145. It was assigned to this organization in the NPPES registry on July 24, 2025.

Where is Pure Infusion Of Nebraska LLC located?

Pure Infusion Of Nebraska LLC is located at 3125 N 120th St, Omaha, NE 68164. The listed phone number is (402) 281-0880.

What is Pure Infusion Of Nebraska LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Pure Infusion Of Nebraska LLC enrolled in Medicare?

Yes. Pure Infusion Of Nebraska LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pure Infusion Of Nebraska LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Pure Infusion Of Nebraska 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 Nurse Practitioner (4) and Emergency Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pure Infusion Of Nebraska LLC accept?

Health plans from Medica list Pure Infusion Of Nebraska 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 Pure Infusion Of Nebraska LLC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.