Individual provider Active NPI

Kristi J Wilson, APRN

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1114667532
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114325 Issued in NE
Practice address
3830 N 167TH CT
Omaha, NE 68116-8064
Phone
(402) 965-4000
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 60315 NE
Family Nurse Practitioner 363LF0000X 114325 NE Primary

Addresses

Primary practice location

3830 N 167TH CT
Omaha, NE 68116-8064

Mailing address

3830 N 167TH CT
Omaha, NE 68116-8064
Phone (402) 965-4000

Other practice location 1

727 N 120th St
Omaha, NE 68154-4212
Phone (402) 493-2100

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
I20220811002833 NE Practitioner - Nurse Practitioner 7315320165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medifast Urgent Care LLCGroup PAC ID 7113363284, 5 clinicians

Practice addresses (Care Compare)

3830 N 167TH CT
Omaha, NE 68116-8064
Phone (402) 965-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60315NEMDRegistered Nurse
114325NEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medifast Urgent Care LLC CurrentSince Dec 1, 2023 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Urgent Care of Omaha Maple LLC Current Accepting new patients
Medifast Urgent Care LLC Current Accepting new patients
Midwest Gastrointestinal Associates PC PastSince Sep 3, 2024 Accepting new patients
Alegent Creighton Clinic PastSince Aug 16, 2022 Accepting new patients

Locations

3830 N 167th Ct
Omaha, NE 68116
Phone (402) 502-2290

727 N 120th St
Omaha, NE 68154
Phone (402) 493-2100

Interoperability endpoints

  • Direct secure messaging: kristi.kranz@direct.nmhs.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1114667532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 N 167TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168064",
            "telephone_number": "402-965-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 N 167TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168064",
            "telephone_number": "402-965-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 N 120th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681544212",
            "country_code": "US",
            "telephone_number": "402-493-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTI",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "60315",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.