OrganizationActive
Pacific Surgery Center LLC
NPI 1902795289 · Ambulatory Surgical Clinic/Center · Omaha, NE
Provider details
- NPI number
- 1902795289
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Audrey Person, Administrator(402) 397-7178
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
111 1/2 S 90th St
Omaha, NE 68114-3907
Phone: (402) 397-7178
Fax: (402) 397-7591
Street-level locationGet directions
Mailing address
10707 Pacific St Ste 100
Omaha, NE 68114-4762
Other names (DBA / former)
- Doing business as
- Pacific Surgery Center East
Registry dates
- Enumerated
- 2025-07-01
- Last updated
- 2025-07-01
- Certified
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.