JOHN BECKENHAUER (PA-C) – Physician Assistant, NPI 1811991789

JOHN BECKENHAUER (PA-C) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 961 (NE). The NPI Number for JOHN BECKENHAUER (PA-C) is 1811991789

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JOHN BECKENHAUER (PA-C)
NPI
1811991789
Phone
Not provided
Address
988102 NEBRASKA MEDICAL CTR
Enumeration Date
9 June 2005
Last Update Date
9 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4025594015
Graduation Year
2000 (26 years ago)
PAC ID
2961530365
Group Practice PAC ID
6002728391
Professional Enrollment ID
I20100505000684
Address ID
NE681980001OMEMILESTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for JOHN BECKENHAUER (PA-C)

  • 988102 NEBRASKA MEDICAL CTR

    OMAHA, NE 681988102

    Phone:

    Type: Mailing

  • EMILE @ 42ND ST

    OMAHA, NE 681980001

    Phone: (402) 559-5000

    Type: Location

  • California Street, Omaha, Douglas County, Nebraska, 68132, United States

    STE 100

    OMAHA, NE 681545335

    Phone: (402) 496-0404

    Fax: (402) 496-0517

    Type: Location

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: 2010-05-05

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
I20100505000684IPhysician AssistantNETBD

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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Provider's Procedures

JOHN BECKENHAUER (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTNE63048Partial removal of spine bone with release of spinal cord and/or nerves8658

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: 6002728391View full group profile
NameSpecialtyState
Physician AssistantNE
Infectious DiseaseNE
N E U R O L O G YNE
P A T H O L O G YNE
Medical Oncology, Hematology/OncologyNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
G A S T R O E N T E R O L O G YNE
Internal MedicineNE
N E U R O S U R G E R YNE

Reviews

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Frequently asked questions

What identifier follows JOHN BECKENHAUER (PA-C) across health systems?
The NPI 1811991789 uniquely identifies JOHN BECKENHAUER (PA-C) in U.S. healthcare data.
Should I treat JOHN BECKENHAUER (PA-C) as an active provider?
Patients and plans typically see JOHN BECKENHAUER (PA-C) as active in the national extract.
What type of care does JOHN BECKENHAUER (PA-C) provide?
JOHN BECKENHAUER (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit JOHN BECKENHAUER (PA-C) in Omaha, Nebraska?
For routing, start with Omaha, Nebraska for JOHN BECKENHAUER (PA-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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