Individual provider Active NPI

Nathan L Van Winkle, APRN

  • Family Nurse Practitioner
  • Valley, NE
National Provider Identifier
1124536800
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2033 Issued in NE
Practice address
13535 N 240TH St
Valley, NE 68064-5631
Phone
(402) 213-5602
NPI assigned
Jan 17, 2018
Last updated
Jan 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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 2033 NE Primary

Addresses

Primary practice location

13535 N 240TH St
Valley, NE 68064-5631

Mailing address

13535 N 240TH St
Valley, NE 68064-5631

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
I20200625002175 NE Practitioner - Nurse Practitioner 1759703432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VWB LLCGroup PAC ID 7113349895, 9 clinicians

Practice addresses (Care Compare)

4004 N 132ND St
101 Afc Urgent Care
Omaha, NE 68164-1803
Phone (402) 302-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2033NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
VWB LLC CurrentSince Apr 27, 2020 Accepting new patients
House Call Healthcare Omaha Family Current Accepting new patients
Premier Urgent Care/Family Care of Nebraska LLC CurrentSince Jul 15, 2020 Accepting new patients

Locations

4004 N 132nd St
Ste 101
Omaha, NE 68164
Phone (402) 302-2273

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, 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": "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": []
}

Other providers in Valley, NE

Sources for this page

Verify at the official NPI Registry.