Neissa Yacoubou-Coulibaly, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

114924 Issued in NE

Practice address

2915 Grant St
Omaha, NE 68111-3863

Phone

(402) 591-9023

NPI assigned

Aug 9, 2023

Last updated

Oct 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charles Drew Health Center IncGroup PAC ID 9830170653, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: neissa.yacouboucoulibalyaprn.p1@direct.charlesdrew.nextgenshare.com

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.

• Charles Drew Health Center, Inc

  dba Charles Drew Health Center, Inc at Grant Street

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1255302170
  Medicare reassignment Care Compare group NPD
• VWB LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1154943835

  Family Medicine

  Medicare reassignment NPD
• Charles Drew Health Center, Inc.

  dba Charles Drew Health Center Inc at Benson SBHC

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1215767421
  NPD
• Premier Urgent Care/Family Care of Nebraska LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1619354511
  NPD
• Charles Drew Health Center Inc

  dba Charles Drew Health Center Inc Mobile Medical

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1386218212
  NPD (past)

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698451200000",
    "number": "1013690627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 GRANT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681113863",
            "telephone_number": "402-591-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 GRANT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681113863",
            "telephone_number": "402-591-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUBOU-COULIBALY",
        "first_name": "NEISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-10-28",
        "certification_date": "2023-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "114924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zi Rong Xu, M.D.
• Ah Zi Ya
• Mabel Yabut
• Hannah Catherine Yackley, D.O.
• Steven Victor Yackley, MD
• Dipak Yadav
• Poonam Yadav, MBBS, PHD
• Alina Yadullayeva
• Svitlana Yadullayeva
• Yager Wholistic Psychiatric Services, PC

• Family Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.