CHARLES DREW HEALTH CENTER, INC.
NPI 1962089391
Clinic/Center - Federally Qualified Health Center (FQHC) in Omaha, NE

Q: What is Charles Drew Health Center, Inc.'s NPI number?

The NPI number for Charles Drew Health Center, Inc. is 1962089391. It was assigned to this organization in the NPPES registry on March 24, 2021. The provider is also known as Teen and Young Adult Center at Benson.

Q: What is Charles Drew Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since March 24, 2021

5920 MAPLE ST, OMAHA, NE 68104(402) 457-1200(402) 939-0916 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Charles Drew Health Center, Inc. NPPES

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

CHARLES DREW HEALTH CENTER, INC. (NPI 1962089391) is a healthcare organization registered as a federally qualified health center (fqhc) in Omaha, Nebraska and active in the NPI registry since March 2021. The organization lists Tarsha Jackson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1962089391

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCHARLES DREW HEALTH CENTER, INC.

Location Address5920 MAPLE STOmaha, NE 68104-4102

Mailing AddressPo Box 11609Omaha, NE 68111-0609 · (402) 457-1200 · Fax (402) 939-0916

Phone(402) 457-1200

Fax(402) 939-0916

Organization SubpartYes

Authorized OfficialTarsha JacksonChief Financial Officer · (402) 457-1215

Enumeration DateMarch 24, 2021

NPPES CertifiedMarch 2, 2021

✔ NPI 1962089391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

5920 MAPLE ST, Omaha, NE 68104

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Other Names 1

Other NameTeen And Young Adult Center At Benson

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 revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Drew Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNebraskaEnrollment IDO20211118001431Part A · Federally Qualified Health Center (FQHC)Due dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

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

JESSICA HALL

Student in an Organized Health Care Education/Training Program

5920 MAPLE ST
OMAHA, NE 68104

Douglas County (402) 451-3553

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 Charles Drew Health Center, Inc.'s NPI number?

The NPI number for Charles Drew Health Center, Inc. is 1962089391. It was assigned to this organization in the NPPES registry on March 24, 2021. The provider is also known as Teen and Young Adult Center at Benson.

Where is Charles Drew Health Center, Inc. located?

Charles Drew Health Center, Inc. is located at 5920 Maple St, Omaha, NE 68104. The listed phone number is (402) 457-1200.

What is Charles Drew Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Charles Drew Health Center, Inc. enrolled in Medicare?

Yes. Charles Drew Health Center, Inc. is registered in the Medicare PECOS enrollment system.

When is Charles Drew Health Center, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Nebraska, Federally Qualified Health Center (FQHC)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Charles Drew Health Center, 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 Charles Drew Health Center, 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 Charles Drew Health Center, Inc. was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.