South Side Convenient Care Inc
NPI 1679007249 · Physician Assistant · Bellevue, NE
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Side Convenient Care Inc is a Physician Assistant organization in Bellevue, NE (NPI 1679007249).
Provider details
- NPI number
- 1679007249
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Samantha Senanayaka, Clinic Credentialing Contact(402) 350-7616
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-04-20
- Last updated
- 2023-07-17
- Certified
- 2023-07-17
Frequently asked questions
- What is South Side Convenient Care Inc's NPI number?
- South Side Convenient Care Inc's National Provider Identifier (NPI) is 1679007249, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Side Convenient Care Inc?
- South Side Convenient Care Inc is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is South Side Convenient Care Inc located?
- South Side Convenient Care Inc's practice location on file with NPPES is 4115 Harrison St, Bellevue, NE 68147-1059.
- What is South Side Convenient Care Inc's phone number?
- The practice phone number listed in the NPPES registry for South Side Convenient Care Inc is (402) 932-0692.
- Does South Side Convenient Care Inc accept Medicare?
- South Side Convenient Care Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Side Convenient Care Inc?
- The authorized official listed on South Side Convenient Care Inc's NPPES record is Samantha Senanayaka, Clinic Credentialing Contact. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Side Convenient Care Inc's NPI active?
- Yes — South Side Convenient Care Inc's NPI (1679007249) is active in the NPPES registry as of the last update on 2023-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.