Eden Wodajo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

113721 Issued in NE

Practice address

3801 W O St
Lincoln, NE 68528-1806

Phone

(402) 441-1900

NPI assigned

Aug 18, 2021

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omaha Insomnia and Psychiatric Services, LLCGroup PAC ID 3779715651, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omahainsomniaandpsychiatricassociates.edenwodajo@133510.advancedmd-direct.com

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.

• Omaha Insomnia and Psychiatric Services, LLC

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1477922318
  Medicare reassignment Care Compare group NPD
• Ven Whole Healthcare LLC

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1508522350
  Medicare reassignment NPD
• Omaha Insomnia and Psychiatric Services, LLC

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1740623057
  NPD

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1083380182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 SHADOW MOSS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685218960",
            "telephone_number": "402-441-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685281806",
            "telephone_number": "402-441-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WODAJO",
        "first_name": "EDEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "113721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Wittrock
• Heather Renae Wittstruck
• Josalyn Wittwer
• Nyla Annette Witzel, PLMHP
• Kyle Wockenfuss, LMHP, CPC, NCC
• Carla Ann Woeppel
• David Marion Woerman
• Ann Woerth, M.D.
• Lyle Eugene Woerth, MD
• Emilie E Wohlers

• Psychiatric/Mental Health Nurse Practitioner in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.