Eleanora Jane Puetz, M.D.
Family Medicine in Omaha, NE. Individual provider (NPI-1).
NPI number1487005302
StatusActive
Last updated in NPPESJun 22, 2016
Details
- NPI
- 1487005302
- Entity type
- Individual (NPI-1)
- Name
- Eleanora Jane Puetz
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2016
- Last updated
- Jun 22, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 7812 | NE | Yes |
Practice location
983075 Nebraska Medical CtrOmaha, NE 68198-3075
Phone 402-559-7249 · Fax 402-559-6501
Mailing address
983075 Nebraska Medical CtrOmaha, NE 68198-3075
Phone 402-559-7249 · Fax 402-559-6501
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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