MRS. JUNE STOURAL WEDERGREN (M.D.) – Obstetrics & Gynecology Physician, NPI 1104900315

MRS. JUNE STOURAL WEDERGREN (M.D.) is a healthcare provider. based in Omaha, Nebraska. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 21315 (NE). The NPI Number for MRS. JUNE STOURAL WEDERGREN (M.D.) is 1104900315

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JUNE STOURAL WEDERGREN (M.D.)
NPI
1104900315
Phone
(402) 397-6600
Address
7205 W CENTER RD
Enumeration Date
24 October 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4023976600
Graduation Year
1997 (29 years ago)
PAC ID
3274791280
Group Practice PAC ID
3779527585
Professional Enrollment ID
I20120222000607
Address ID
NE681242388OM7205XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

270 OBSTETRICS/GYNECOLOGY in NE

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Provider Addresses for MRS. JUNE STOURAL WEDERGREN (M.D.)

  • Mid City Med Aesthetics, 7205, West Center Road, Omaha, Douglas County, Nebraska, 68124, United States

    SUITE 200

    OMAHA, NE 681242388

    Phone: (402) 397-6600

    Fax: (402) 397-8318

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $864.

Total Amount is formed as General ($864) + Research ($0) + Ownership ($0) = $864.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($227).

Total Amount

$864

General + Research + Ownership

Payments

44

Total payment records

General Amount

$864

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2012-02-22

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
I20120222000607IObstetrics/GynecologyNETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4123$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1818$0
View full utilization report →

Insurance plans in this area (ZIP 68124)

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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: 3779527585View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNE
O B S T E T R I C S/ G Y N E C O L O G YNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
Nurse PractitionerVA
Nurse PractitionerNE
O B S T E T R I C S/ G Y N E C O L O G YNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
Certified Nurse Midwife (Cnm)NE

Reviews

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Frequently asked questions

Does MRS. JUNE STOURAL WEDERGREN (M.D.) have a public NPI I can cite?
Public records show MRS. JUNE STOURAL WEDERGREN (M.D.) under NPI 1104900315.
Does the public listing show MRS. JUNE STOURAL WEDERGREN (M.D.) as active?
MRS. JUNE STOURAL WEDERGREN (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say MRS. JUNE STOURAL WEDERGREN (M.D.) does?
Insurance directories may phrase it differently, but here MRS. JUNE STOURAL WEDERGREN (M.D.) maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. JUNE STOURAL WEDERGREN (M.D.)?
MRS. JUNE STOURAL WEDERGREN (M.D.) shows a connection to Omaha, Nebraska in registry-derived data.
Who maintains MRS. JUNE STOURAL WEDERGREN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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