Individual provider Active NPI

Carrie L Cadorna, A.P.R.N.

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1013359231
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111547 Issued in NE
Practice address
111 S 90TH St
Omaha, NE 68114-3907
Phone
(402) 397-9800
Fax
(402) 397-7591
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111547 NE Primary
Nurse Practitioner 363L00000X 119576 OK

Addresses

Primary practice location

111 S 90TH St
Omaha, NE 68114-3907

Mailing address

111 S 90TH St
Omaha, NE 68114-3907
Phone (402) 397-9800

Other names 1

  • Carrie L Herbranson Former name

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
I20140528000322 NE Practitioner - Nurse Practitioner 0143443846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center PCGroup PAC ID 2961396833, 43 clinicians

Practice addresses (Care Compare)

111 S 90TH St
Urohealth Partners
Omaha, NE 68114-3907
Phone (402) 397-9800

Hospital & facility affiliations

  • Clarinda Regional Health Center Hospital, Clarinda, IA, CCN 161352
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111547NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Aug 14, 2020 Accepting new patients

Locations

2500 Bellevue Medical Center Dr
Bellevue, NE 68123
Phone (402) 763-3000

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Networks

  • IA HMO
  • IA HMO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Interoperability endpoints

  • Direct secure messaging: carrie.cadorna.1@7144.direct.athenahealth.com
  • Direct secure messaging: carrie.cadorna.p1@direct.tuc.nextgenshare.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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1013359231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143907",
            "telephone_number": "402-397-9800",
            "fax_number": "402-397-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143907",
            "telephone_number": "402-397-9800",
            "fax_number": "402-397-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADORNA",
        "first_name": "CARRIE",
        "middle_name": "L",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111547",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "119576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "HERBRANSON",
            "middle_name": "L",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.