Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicolas R Eller, PA-C

Individual provider Surgical Physician Assistant · NPI 1093387649

Nicolas R Eller, PA-C is a Physician Assistant in Omaha, Nebraska. Qualified in 2021, 5 years ago. Licensed in Nebraska.

Years since qualifying
5
Licensed in
NE
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8200 Dodge St
Omaha, NE 68114-4113
Phone: (402) 955-7400
Fax: (402) 955-7405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2631 (NE)

Record details

NPI number1093387649
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2021
Last updated in NPPESJuly 13, 2021
Certification dateJuly 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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