Individual provider Active NPI

Melissa Powers, RN

  • Home Health Registered Nurse
  • Omaha, NE
National Provider Identifier
1093516536
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
R054549 Issued in SD
Practice address
12875 Deauville Dr
Omaha, NE 68137-3242
Phone
(402) 399-1700
NPI assigned
Mar 21, 2025
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X R054549 SD Primary

Addresses

Primary practice location

12875 Deauville Dr
Omaha, NE 68137-3242

Mailing address

12856 Deauville Dr
Omaha, NE 68137-3204
Phone (402) 399-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R054549SDMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Evangelical Lutheran Good Samaritan Society PastSince Mar 24, 2025 Accepting new patients
The Evangelical Lutheran Good Samaritan Society PastSince Mar 24, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1093516536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12856 DEAUVILLE DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373204",
            "telephone_number": "402-399-1700",
            "fax_number": "402-393-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12875 DEAUVILLE DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373242",
            "telephone_number": "402-399-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "MELISSA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "SD",
            "license": "R054549",
            "primary": true
        }
    ],
    "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 Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.