Individual provider Active NPI

Kate Patricia Horn, APRN-NP

  • Gerontology Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1003576406
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
113777 Issued in NE
Practice address
16934 Frances St Ste 105
Omaha, NE 68130-2397
Phone
(402) 403-4330
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 113777 NE Primary

Addresses

Primary practice location

16934 Frances St Ste 105
Omaha, NE 68130-2397

Mailing address

16934 Frances St Ste 105
Omaha, NE 68130-2397
Phone (402) 403-4330

Other practice location 1

4960 S 167th St
Omaha, NE 68135-1380
Phone (720) 629-5501

Other identifiers 3

IdentifierTypeStateIssuer
113777OtherNEAPRN LICENSE
87921OtherNERN LICENSE
2021036876OtherNEANCC AGPCNP CERTIFICATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211220002220 NE Practitioner - Nurse Practitioner 9335530799 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11377NEMDMental Health Counselor
113777NEMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncare Hospice Ia LLC CurrentSince Sep 15, 2024 Accepting new patients
Oncare Palliative LLC CurrentSince Apr 15, 2024 Accepting new patients
Oncare Hospice LLC PastSince Apr 15, 2024 Accepting new patients
Heritage Oncare Home Health LLC PastSince Nov 5, 2023 Accepting new patients

Locations

16934 Frances St
Ste 105
Omaha, NE 68130
Phone (402) 403-4330

16934 Frances St
Ste 106
Omaha, NE 68130
Phone (402) 403-4330

Organizations & group practices 5

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": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1003576406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16934 FRANCES ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302397",
            "telephone_number": "402-403-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16934 FRANCES ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302397",
            "telephone_number": "402-403-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4960 S 167th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681351380",
            "country_code": "US",
            "telephone_number": "720-629-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORN",
        "first_name": "KATE",
        "middle_name": "PATRICIA",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NE",
            "license": "113777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "113777",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "87921",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC AGPCNP CERTIFICATION",
            "identifier": "2021036876",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.