Be Well Memory and Infusion – Internal Medicine Physician, NPI 1780128140
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Be Well Memory and Infusion
13923 Gold Cir Ste 100
Omaha, NE 681442308
Phone: (402) 413-6464
Fax: (402) 858-1277
Type: Location
5800 Hidcote Dr Ste 103
Lincoln, NE 685165536
Phone: (402) 413-6464
Fax: (402) 858-1277
Type: Location
1905 S LAKELINE BLVD
SUITE 4
CEDAR PARK, TX 786134299
Phone: (512) 470-2395
Fax: (512) 532-6502
Type: Mailing
16040 PARK VALLEY DR STE 222A
ROUND ROCK, TX 786813596
Phone: (512) 553-1921
Fax: (512) 532-6502
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2017-12-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (830 days ago).
Enrollment records
2
Earliest due date
2024-02-29
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 |
|---|---|---|---|---|
| O20170103000354 | O | Clinic/Group Practice | TX | 2024-02-29 |
| O20171208001757 | O | Clinic/Group Practice | NE | 2026-01-31 |
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 68144)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.