Individual provider Active NPI

Gloria Kokes

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1003399916
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112594 Issued in NE
Practice address
2429 M St
Omaha, NE 68107-2715
Phone
(402) 731-7333
Fax
(402) 614-5405
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112594 NE Primary

Addresses

Primary practice location

2429 M St
Omaha, NE 68107-2715

Mailing address

2429 M St
Omaha, NE 68107-2715
Phone (402) 731-7333

Other names 1

  • Ms. Gloria Okoli Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030000132 IA Practitioner - Nurse Practitioner 0345587622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112594NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarke County Public Hospital CurrentSince Sep 23, 2024 Accepting new patients
Clarke County Public Hospital Current Accepting new patients
Clarke County Public Hospital CurrentSince Sep 23, 2024 Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients

Locations

800 S Fillmore St
Ste Abc
Osceola, IA 50213

800 S Fillmore St
Ste A
Osceola, IA 50213
Phone (641) 342-2128

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1003399916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 M ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072715",
            "telephone_number": "402-731-7333",
            "fax_number": "402-614-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 M ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072715",
            "telephone_number": "402-731-7333",
            "fax_number": "402-614-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKES",
        "first_name": "GLORIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "OKOLI",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.