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Ecubed Consulting LLC

NPI 1639970312ActiveOrganization· Physician Assistant, Medical· Omaha, NE

Physician Assistant, Medical in Omaha, Nebraska, registered in NPPES in March 2025. The authorized official on file is Stacey M. Samuel, PA-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1639970312
StatusActive
Entity typeOrganization
NPI issuedMar 20, 2025
Last updated in NPPESJun 19, 2025
Certified by providerJun 19, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NE)

Medicare sources and data years

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