Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mallory Leigh Pottebaum, PA-C
Physician Assistant in Omaha, NE · enumerated 2011.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1487950945
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Registry record
Entity type Individual (Type 1)
Name Mallory Leigh Pottebaum
Credential PA-C
Sex Female
Practice address 505 S. 45th St, Omaha, NE, 68198
Phone (402) 559-5600
Enumeration date Feb 1, 2011
Last updated in NPPES Jun 25, 2019
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1997 (NE) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Mallory Pottebaum practice?
The practice location on file with NPPES is in Omaha, NE. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mallory Pottebaum?
The National Provider Identifier (NPI) for Mallory Pottebaum is 1487950945, a Type 1 (individual) record in the CMS NPPES registry.
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-25.