Endeveren Family Medicine LLC
NPI 1023257763ActiveOrganization· Internal Medicine· Omaha, NE
Internal Medicine in Omaha, Nebraska, registered in NPPES in February 2009. The authorized official on file is Nichelle Ree Horton-Brown, M.D., Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023257763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2009 |
| Last updated in NPPES | Sep 12, 2023 |
| Certified by provider | Sep 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 22626 | NE |
| Pediatrics | 208000000X | 22626 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NE) |
|---|
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