Individual provider Active NPI

Rebecca Leistico, DNP

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1114695327
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F08211299 Issued in NE
Practice address
8901 Indian Hills Dr
Omaha, NE 68114-4029
Phone
(402) 397-7057
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F08211299 NE Primary

Addresses

Primary practice location

8901 Indian Hills Dr
Omaha, NE 68114-4029

Mailing address

8901 Indian Hills Dr
Omaha, NE 68114-4029
Phone (402) 397-7057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211026000864 NE Practitioner - Nurse Practitioner 0840688701 Reassigns benefits to 1 organization
I20211118000172 IA Practitioner - Nurse Practitioner 0840688701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Gastrointestinal Associates PCGroup PAC ID 3779575766, 54 clinicians

Practice addresses (Care Compare)

808 E Pierce St
Suite 301
Council Bluffs, IA 51503-4603
Phone (712) 396-2997

8901 Indian Hills Dr
Omaha, NE 68114-4032
Phone (402) 933-1500

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F08211299NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Gastrointestinal Associates PC Nurse Practitioner CurrentSince Oct 14, 2021 Accepting new patients
Midwest Endoscopy Services LLC PastSince Oct 14, 2021 Accepting new patients
Jennie Edmundson Memorial Hospital Nurse Practitioner Past Accepting new patients

Locations

808 E Pierce St
Ste 301
Council Bluffs, IA 51503
Phone (712) 396-2997

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

17001 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 885-8700

17001 Lakeside Hills Plz
Ste 100
Omaha, NE 68130
Phone (402) 614-6336

8901 Indian Hills Dr
Ste 100
Omaha, NE 68114
Phone (402) 933-1500

8901 Indian Hills Dr
Ste 200
Omaha, NE 68114
Phone (402) 397-7057

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 4

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1114695327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144029",
            "telephone_number": "402-397-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144029",
            "telephone_number": "402-397-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISTICO",
        "first_name": "REBECCA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "F08211299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.