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SUSAN MARIE NILES
NPI 1780717066
Dentist - General Practice in Omaha, NE

Active since March 14, 2007Opted out of Medicare · through Feb 1, 2027
14707 CALIFORNIA STREET, SEVILLE SQUARE OFFICE BUILDING SUITE 15, OMAHA, NE 68154(402) 498-0777(402) 498-0853 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Marie Niles NPPES

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

SUSAN MARIE NILES (NPI 1780717066) is an individual general practice provider in Omaha, Nebraska, licensed in Nebraska (5335) and active in the NPI registry since March 2007. She has opted out of Medicare through February 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780717066
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSUSAN MARIE NILES
Location Address14707 CALIFORNIA STREET, SEVILLE SQUARE OFFICE BUILDING SUITE 15Omaha, NE 68154-1900
Mailing Address14707 California Street, Seville Square Office Building Suite 15Omaha, NE 68154-1900 · (402) 498-0777 · Fax (402) 498-0853
Phone(402) 498-0777
Fax(402) 498-0853
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1780717066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NE · 5335
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
14707 CALIFORNIA STREET, Omaha, NE 68154
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Other Names 1

Professional Name (2)Susan M Niles Dds

Other Identifiers 1

Other470727849NE · Blue Cross Blue Shield In

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Marie Niles has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2017 through February 1, 2027.

Opt-Out Effective DateFebruary 1, 2017
Opt-Out In Effect ThroughFebruary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68154 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
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Susan Niles's NPI number?

The NPI number for Susan Niles is 1780717066. It was assigned to this individual provider in the NPPES registry on March 14, 2007. The provider is also known as Susan M Niles Dds.

Where is Susan Niles located?

Susan Niles practices at 14707 California Street Seville Square Office Building Suite 15, Omaha, NE 68154. The listed phone number is (402) 498-0777.

What is Susan Niles's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Susan Niles enrolled in Medicare?

No. Susan Niles has opted out of Medicare through February 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Susan Niles accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 15 other insurers list Susan Niles 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 Susan Niles was last updated on August 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.