CHI HEALTH CLINIC SPECIALTY, LLC – Hospitalist Physician, NPI 1285138065
Hospitalist Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CHI HEALTH CLINIC SPECIALTY, LLC
7261, Mercy Road, Omaha, Douglas County, Nebraska, 68124, United States
OMAHA, NE 681242311
Phone: (402) 398-6255
Fax: (402) 829-8513
Type: Mailing
Kearney Clinic, 211, West 33rd Street, Kearney, Buffalo County, Nebraska, 68845, United States
KEARNEY, NE 688453484
Phone: (308) 865-2141
Fax: (308) 865-2150
Type: Location
10 E 31st St
Kearney, NE 688472926
Phone: (402) 421-0904
Type: Location
7440 S 91ST ST
LINCOLN, NE 685269797
Phone: (402) 421-0904
Type: Mailing
555 S 70TH ST
LINCOLN, NE 685102462
Phone: (402) 219-8000
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: 2021-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (127 days ago).
Enrollment records
3
Earliest due date
2026-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20210121000492 | O | Clinic/Group Practice | NE | 2026-01-31 |
| O20210127003128 | O | Clinic/Group Practice | KS | 2026-02-28 |
| O20210415002664 | O | Clinic/Group Practice | ND | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 68124)
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