Active NPI
Ashley Self
- Nurse Practitioner
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 112114
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 70916 | NE | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Nurse Practitioner | Current | Accepting new patients |
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Self Care LLC | Nurse Practitioner | Current | Accepting new patients |
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| New Century Physicians of Iowa PC | Current | 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
- 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.
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1689628372
Nurse Practitioner
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
-
- Nurse Practitioner
- Omaha, NE
- NPI 1518600840
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1013916600
-
- Emergency Medicine Physician
- Papillion, NE
- NPI 1063411833
-
- Emergency Medicine Physician
- Council Bluffs, IA
- NPI 1548269301
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Health Mercy Council Bluffs
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1265517759
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.