Individual provider Active NPI

Muzeyi Mboghonya Forka, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1003797549
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
116828 Issued in NE
Practice address
701 N 45TH St
Lincoln, NE 68503-2821
Phone
(402) 413-6677
Fax
(402) 817-0210
NPI assigned
Sep 10, 2025
Last updated
Aug 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 116828 NE Primary

Addresses

Primary practice location

701 N 45TH St
Lincoln, NE 68503-2821

Mailing address

701 N 45TH St
Lincoln, NE 68503-2821
Phone (402) 413-6677

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
I20260603001246 NE Practitioner - Nurse Practitioner 5799256566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2120 S 56TH St
Lincoln, NE 68506-2118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116828NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Youniq Health LLC Psychiatric/Mental Health CurrentSince May 7, 2026 Accepting new patients

Locations

2120 S 56th St
Ste 104
Lincoln, NE 68506
Phone (402) 413-6677

701 N 45th St
Lincoln, NE 68503

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1003797549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 45TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685032821",
            "telephone_number": "402-413-6677",
            "fax_number": "402-817-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 45TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685032821",
            "telephone_number": "402-413-6677",
            "fax_number": "402-817-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORKA",
        "first_name": "MUZEYI",
        "middle_name": "MBOGHONYA",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-10",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "116828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.