MARK JOSEPH PICKERAL (MD) – Emergency Medicine Physician, NPI 1417527243

MARK JOSEPH PICKERAL (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 9112 (NE). The NPI Number for MARK JOSEPH PICKERAL (MD) is 1417527243

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MARK JOSEPH PICKERAL (MD)
NPI
1417527243
Phone
(402) 559-6802
Address
981150 Nebraska Medical Ctr
Enumeration Date
24 June 2021
Last Update Date
12 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024819049
Graduation Year
2021 (5 years ago)
PAC ID
1658779442
Group Practice PAC ID
4587651922
Professional Enrollment ID
I20240819000641
Address ID
NE685061283LI1600XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

238 EMERGENCY MEDICINE in NE

Provider Addresses for MARK JOSEPH PICKERAL (MD)

  • 981150 Nebraska Medical Ctr

    Omaha, NE 681981150

    Phone: (402) 559-6802

    Fax: (402) 559-9659

    Type: Location

  • 1600 S 48TH ST

    LINCOLN, NE 685061283

    Phone: (402) 709-2654

    Fax: (402) 559-9659

    Type: Mailing

  • 981150 NEBRASKA MEDICAL CTR

    OMAHA, NE 681981150

    Phone: (402) 559-6802

    Fax: (402) 559-9659

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-19

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
I20240819000641IEmergency MedicineNETBD

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: 4587651922View full group profile
NameSpecialtyState
Nurse PractitionerNE
Nurse PractitionerNE
Emergency MedicineMO
Emergency MedicineNE
Nurse PractitionerNE
Emergency MedicineNE
Emergency MedicineOH
Emergency MedicineNE
Emergency MedicineNE
Emergency MedicineNE

Reviews

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Frequently asked questions

What is MARK JOSEPH PICKERAL (MD)'s NPI number?
MARK JOSEPH PICKERAL (MD)'s NPI is 1417527243 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MARK JOSEPH PICKERAL (MD)?
For scheduling context, MARK JOSEPH PICKERAL (MD) is shown as active in the registry.
What kind of doctor is MARK JOSEPH PICKERAL (MD)?
MARK JOSEPH PICKERAL (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARK JOSEPH PICKERAL (MD)?
Travel planning: use Omaha, Nebraska as the reference point for MARK JOSEPH PICKERAL (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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