Organization Active NPI

Wildflower Collective LLC

  • Counselor
  • Omaha, NE
National Provider Identifier
1043946627
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WILDFLOWER COLLECTIVE LLC
Practice address
5824 S 142ND St Ste a
Omaha, NE 68137-2872
Phone
(402) 205-5120
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Jessica Wisneski
Title
Administrative Assistant
Phone
(402) 205-5120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

5824 S 142ND St Ste a
Omaha, NE 68137-2872

Mailing address

2809 S 160TH St Ste 101
Omaha, NE 68130-1755
Phone (402) 205-5120

Other practice location 1

2809 S 160th St Ste 101
Omaha, NE 68130-1755
Phone (402) 205-5120 ext. 55120

Other identifiers 1

IdentifierTypeStateIssuer
50727896000MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nms@nataliescarpa.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231009001648 NE Part B Supplier - Clinic/Group Practice 9335594563 Receives reassigned benefits from 3 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

5824 S 142nd St
Omaha, NE 68137
Phone (402) 205-5120

2809 S 160th St
Ste 101
Omaha, NE 68130
Phone (402) 205-5120

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1043946627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 S 160TH ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301755",
            "telephone_number": "402-205-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 S 142ND ST STE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372872",
            "telephone_number": "402-205-5120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2809 S 160th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681301755",
            "country_code": "US",
            "telephone_number": "402-205-5120 x55120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILDFLOWER COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "WISNESKI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "402-205-5120"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50727896000",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nms@nataliescarpa.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5824 S 142nd St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681372856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.