ZOE TATE BOUR
NPI 1942047261
Physician Assistant - Medical in Omaha, NE

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since July 12, 2024PECOS Enrolled

42ND AND EMILE, OMAHA, NE 68198(402) 559-4000 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Zoe Tate Bour NPPES

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

ZOE TATE BOUR (NPI 1942047261) is an individual medical provider in Omaha, Nebraska, licensed in Arkansas (PT2026-007) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942047261

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameZOE TATE BOUR

Location Address42ND AND EMILEOmaha, NE 68198-0001

Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148

Phone(402) 559-4000

Sole ProprietorNo

Enumeration DateJuly 12, 2024

Last NPPES UpdateFebruary 18, 2026

NPPES CertifiedFebruary 18, 2026

✔ NPI 1942047261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AR · PT2026-007

42ND AND EMILE, Omaha, NE 68198

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zoe Tate Bour 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.