Nathan L Van Winkle, APRN

Key facts

NPI

1124536800

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

2033 (NE)

Practice address

13535 N 240TH St
Valley, NE 68064-5631

Phone

(402) 213-5602

NPI assigned

Jan 17, 2018

Sex

Male

Sole proprietor

No

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.

• VWB LLC Urgent Care Clinic/Center · Omaha, NE · NPI 1154943835
  Medicare reassignment Care Compare group NPD Authorized official NE
• House Call Healthcare Omaha Family Nurse Practitioner · Springfield, NE · NPI 1467001594
  NPD Authorized official FAMILY
• Premier Urgent Care/Family Care of Nebraska LLC Urgent Care Clinic/Center · Omaha, NE · NPI 1619354511
  NPD

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VWB LLC (9 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 17, 2018.

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1124536800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13535 N 240TH ST",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680645631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13535 N 240TH ST",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680645631",
            "telephone_number": "402-213-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WINKLE",
        "first_name": "NATHAN",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "2033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Valley, NE · Family Nurse Practitioner in Nebraska