Individual provider Active NPI

Michaela Joanne Mohr

  • Nurse Practitioner
  • Norfolk, NE
National Provider Identifier
1003459728
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
74208 Issued in NE
Practice address
110 N 29TH St
Norfolk, NE 68701-4424
Phone
(402) 644-7550
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 74208 NE Primary

Addresses

Primary practice location

110 N 29TH St
Norfolk, NE 68701-4424

Mailing address

110 N 29TH St
Norfolk, NE 68701-4424
Phone (402) 644-7550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20191205001200 NE Practitioner - Nurse Practitioner 4688007693 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74208NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology & Oncology Consultants PC CurrentSince Oct 22, 2019 Accepting new patients
Hematology & Oncology Consultants, PC Nurse Practitioner CurrentSince Oct 22, 2019 Accepting new patients

Locations

110 N 29th St
Ste 1
Norfolk, NE 68701
Phone (402) 371-0925

110 N 29th St
Norfolk, NE 68701
Phone (402) 371-0925

110 N 29th St
Ste 101
Norfolk, NE 68701
Phone (402) 644-7534

6901 N 72nd St
Ste 2244
Omaha, NE 68122
Phone (402) 572-3535

Interoperability endpoints

  • Direct secure messaging: michaela.mohr@hoc.ikm.direct-ci.com
  • Direct secure messaging: mmohr273150@direct.nebraskamed.com

Organizations & group practices 2

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": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1003459728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 29TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014424",
            "telephone_number": "402-644-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 29TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014424",
            "telephone_number": "402-644-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHR",
        "first_name": "MICHAELA",
        "middle_name": "JOANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "74208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.