GUSTAVO OLIVEIRA MEINICKE (MD) – Family Medicine Physician, NPI 1104559616

GUSTAVO OLIVEIRA MEINICKE (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 9487 (NE). The NPI Number for GUSTAVO OLIVEIRA MEINICKE (MD) is 1104559616

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
GUSTAVO OLIVEIRA MEINICKE (MD)
NPI
1104559616
Phone
(402) 559-5641
Address
983075 NEBRASKA MEDICAL CTR
Enumeration Date
3 July 2022
Last Update Date
22 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8443427935
Graduation Year
2017 (9 years ago)
PAC ID
5698159705
Group Practice PAC ID
3173432085
Professional Enrollment ID
I20250730000275
Address ID
FL339711576LE3415XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

953 FAMILY PRACTICE in NE

Provider Addresses for GUSTAVO OLIVEIRA MEINICKE (MD)

  • 983075 NEBRASKA MEDICAL CTR

    OMAHA, NE 681983075

    Phone: (402) 559-5641

    Type: Mailing

  • PO BOX 1588

    FORT MYERS, FL 339021588

    Phone: (844) 342-7935

    Type: Mailing

  • 3415 LEE BLVD

    LEHIGH ACRES, FL 339711576

    Phone: (844) 342-7935

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: United Therapeutics Corporation ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250730000275IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68198)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173432085View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineFL
-FL
Internal MedicineNY
O B S T E T R I C S/ G Y N E C O L O G YIL
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Internal MedicineFL
P O D I A T R YFL
-FL

Reviews

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Frequently asked questions

Can I verify GUSTAVO OLIVEIRA MEINICKE (MD) with an NPI only?
You can start verification with NPI 1104559616 for GUSTAVO OLIVEIRA MEINICKE (MD), then check state licensing separately.
Is GUSTAVO OLIVEIRA MEINICKE (MD) listed as active for patients and plans?
The listing shows GUSTAVO OLIVEIRA MEINICKE (MD) as active in the NPI system.
What is GUSTAVO OLIVEIRA MEINICKE (MD)'s specialty?
The listing groups GUSTAVO OLIVEIRA MEINICKE (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for GUSTAVO OLIVEIRA MEINICKE (MD)?
GUSTAVO OLIVEIRA MEINICKE (MD)'s geographic hint is Omaha, Nebraska in our summary view.
Why does GUSTAVO OLIVEIRA MEINICKE (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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