Individual provider Active NPI

Ashley Self

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1083161889
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112114 Issued in NE
Practice address
601 N 30TH St
Suite 3700
Omaha, NE 68131-2128
Phone
(402) 717-4909
Fax
(402) 717-6062
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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 112114 NE Primary
Registered Nurse 163W00000X 70916 NE

Addresses

Primary practice location

601 N 30TH St
Suite 3700
Omaha, NE 68131-2128

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311
Phone (492) 398-6248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161007000059 NE Practitioner - Nurse Practitioner 6608164637 Reassigns benefits to 2 organizations
I20190315000142 IA Practitioner - Nurse Practitioner 6608164637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Methodist HospitalGroup PAC ID 6901707447, 132 clinicians

Practice addresses (Care Compare)

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4424

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70916NEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Physicians of Nebraska LLC Current Accepting new patients
Alegent Creighton Clinic CurrentSince Oct 1, 2016 Accepting new patients
Alegent Creighton Clinic CurrentSince Aug 31, 2023 Accepting new patients
Nebraska Methodist Hospital Nurse Practitioner CurrentSince Feb 28, 2023 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Self Care LLC Nurse Practitioner CurrentSince Apr 17, 2022 Accepting new patients
New Century Physicians of Nebraska LLC CurrentSince Mar 1, 2019 Accepting new patients
New Century Physicians of Iowa PC CurrentSince Mar 1, 2019 Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

3308 Samson Way
Bellevue, NE 68123
Phone (402) 291-3373

707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000

16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

2412 Cuming St
Omaha, NE 68131
Phone (402) 449-4000

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

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

11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000

Interoperability endpoints

  • Direct secure messaging: ashley.self@direct.nmhs.org

Organizations & group practices 8

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 1

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1083161889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "492-398-6248",
            "fax_number": "402-829-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST",
            "address_2": "SUITE 3700",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312128",
            "telephone_number": "402-717-4909",
            "fax_number": "402-717-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112114",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "70916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.