Individual provider Active NPI

Leann R Holmes, DNP, NP-C

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1083620207
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110270 Issued in NE
Practice address
4840 Dodge St
Omaha, NE 68132-3111
Phone
(402) 477-9200
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110270 NE Primary

Addresses

Primary practice location

4840 Dodge St
Omaha, NE 68132-3111

Mailing address

4809 N 20TH St
Lincoln, NE 68521-1135
Phone (402) 477-9200

Other identifiers 3

IdentifierTypeStateIssuer
500028748OtherRAILROAD MEDICARE
10025121400MedicaidNE
900016712999MedicaidNE

Other names 1

  • Leann H Stofferahn Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101217000273 NE Practitioner - Nurse Practitioner 6002004033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hart and Arndt Family Health PCGroup PAC ID 9739484122, 6 clinicians

Practice addresses (Care Compare)

8055 O St
Suite 100
Lincoln, NE 68510-2565

8055 O St
Suite 100
Lincoln, NE 68510-2575
Phone (402) 488-5972

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110270NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Family Wellness, PC PastSince Sep 1, 1997 Accepting new patients
Urgent Care Clinic of Lincoln, P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAEHAD/Endpoint/DAEHAD
  • Direct secure messaging: leann.holmes@hfhp.eclinicaldirectplus.com

Organizations & group practices 3

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 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1083620207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 N 20TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685211135",
            "telephone_number": "402-477-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323111",
            "telephone_number": "402-477-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "LEANN",
        "middle_name": "R",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500028748",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025121400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900016712999",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANN",
            "last_name": "STOFFERAHN",
            "middle_name": "H",
            "credential": "APRN, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.