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MEMORIAL HEALTH CLINIC
NPI 1881603850
Family Medicine in Aurora, NE

Active since August 07, 2006CLIA 28D2282199 · Waiver
609 O ST, AURORA, NE 68818(402) 694-3191(402) 694-2146 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Memorial Health Clinic NPPES

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

MEMORIAL HEALTH CLINIC (NPI 1881603850) is a healthcare organization registered as a family medicine in Aurora, Nebraska and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 17, 2027 and lists Phil Fendt, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1881603850
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEMORIAL COMMUNITY HEALTH, INC
Location Address609 O STAurora, NE 68818-1100
Mailing Address609 O StAurora, NE 68818-1100 · (402) 694-3191 · Fax (402) 694-2146
Phone(402) 694-3191
Fax(402) 694-2146
Organization SubpartNo
Authorized OfficialPhil FendtChief Financial Officer · (402) 694-6007
Enumeration DateAugust 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881603850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
609 O ST, Aurora, NE 68818
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Other Names 1

Doing Business AsMemorial Health Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Memorial Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Memorial Health Clinic, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Pulmonary Disease12
Family Practice11
Nurse Practitioner8

Nearest to this location (20)

See all 31
Kachine Banahan, APRN
Nurse Practitioner
NPI 1306689518
609 O ST
Aurora, NE 68818
(402) 694-3191
✔ PECOS✔ Accepts MedicareSame address
Jamie Dibbern, FNP-C
Nurse Practitioner
NPI 1952708208
609 O ST
Aurora, NE 68818
(402) 694-3191
✔ PECOS✔ Accepts MedicareSame address
Alexis Erbst, M.D.
Family Practice
NPI 1407382302
609 O ST
Aurora, NE 68818
(402) 694-3191
✔ PECOS✔ Accepts MedicareSame address
Jennifer Harney, M.D.
Family Practice
NPI 1467830026
609 O ST
Aurora, NE 68818
(402) 694-3191
✔ PECOS✔ Accepts MedicareSame address
Mark Jobman, M.D.
Family Practice
NPI 1134137706
609 O ST
Aurora, NE 68818
(402) 694-3191
✔ PECOS✔ Accepts MedicareSame address
Scott Johnson, M.D.
Family Practice
NPI 1497761134
609 O ST
Aurora, NE 68818
(402) 694-3191
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Muilenburg, M.D.
Family Practice
NPI 1386652964
609 O ST
Aurora, NE 68818
(402) 694-3191
✔ PECOS✔ Accepts MedicareSame address
Whitney Polen, APRN, FNP-C
Nurse Practitioner
NPI 1043894199
609 O ST
Aurora, NE 68818
(402) 694-3191
✔ PECOS✔ Accepts MedicareSame address
Michael Sullivan, M.D.
Family Practice
NPI 1528076197
609 O ST
Aurora, NE 68818
(402) 694-3171
✔ PECOSSame address
John Wilcox, M.D.
Family Practice
NPI 1124036710
609 O ST
Aurora, NE 68818
(402) 694-3191
✔ PECOSSame address
Samantha Karr, NP
Nurse Practitioner
NPI 1083534309
1423 7TH ST
Aurora, NE 68818
(402) 684-3171
✔ PECOS✔ Accepts Medicare2.7 mi
Lindsey Makovicka, APRN
Nurse Practitioner
NPI 1881173797
3016 W FAIDLEY AVE
Grand Island, NE 68803
(308) 381-8546
✔ PECOS✔ Accepts Medicare18 mi
Traci Penner, APRN
Nurse Practitioner
NPI 1891248720
3610 RICHMOND CIR STE 100
Grand Island, NE 68803
(308) 398-6400
✔ PECOS✔ Accepts Medicare18 mi
Cameron Sidak, M.D.
Family Practice
NPI 1639326788
531 BEEBE ST
Osceola, NE 68651
(402) 747-8851
✔ PECOS✔ Accepts Medicare34 mi
Mandy Mccarthy, FNP-C
Nurse Practitioner
NPI 1265360689
2707 L ST
Ord, NE 68862
(308) 728-4355
✔ PECOS✔ Accepts Medicare69 mi
Alyxandra Baker, DO
Family Practice
NPI 1356910087
4600 VALLEY RD STE 200
Lincoln, NE 68510
(402) 327-6921
✔ PECOS✔ Accepts Medicare73 mi
Sean Flor, MD
Family Practice
NPI 1710545504
4600 VALLEY RD STE 200
Lincoln, NE 68510
(402) 483-4571
✔ PECOS✔ Accepts Medicare73 mi
Douglas Fiedler, MD
Pulmonary Disease
NPI 1215976147
1500 S 48TH ST SUITE 800
Lincoln, NE 68506
(402) 483-8600
✔ PECOS✔ Accepts Medicare74 mi
Harvey Hopkins, M.D.
Pulmonary Disease
NPI 1871597583
1500 S. 48TH STREET SUITE 800
Lincoln, NE 68506
(402) 483-8600
✔ PECOS✔ Accepts Medicare74 mi
Jeffrey Jarrett, MD
Pulmonary Disease
NPI 1023026663
1500 S 48TH ST SUITE 800
Lincoln, NE 68506
(402) 483-8600
✔ PECOS✔ Accepts Medicare74 mi
See all 31 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2282199

Memorial Health Clinic - Aurora (rhc) · Aurora, NE
Active · expires May 17, 2027
CLIA Number28D2282199
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorJoseph J. Sandmeier
Laboratory Phone(402) 694-3191
Laboratory LocationMemorial Health Clinic - Aurora (rhc)609 O Street, Aurora, NE 68818
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Memorial Community Health, Inc's NPI number?

The NPI number for Memorial Community Health, Inc is 1881603850. It was assigned to this organization in the NPPES registry on August 7, 2006. The provider is doing business as Memorial Health Clinic.

Where is Memorial Community Health, Inc located?

Memorial Community Health, Inc is located at 609 O St, Aurora, NE 68818. The listed phone number is (402) 694-3191.

What is Memorial Community Health, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Memorial Community Health, Inc enrolled in Medicare?

Yes. Memorial Community Health, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Community Health, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 3 Medicare specialties reassign their Medicare billing to Memorial Community Health, Inc. 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 (12), Family Practice (11) and Nurse Practitioner (8). Of these, 10 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Memorial Community Health, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2282199) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Memorial Community Health, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Memorial Community Health, Inc 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 Memorial Community Health, Inc was last updated on August 22, 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.