Active NPI
Nathan L Van Winkle, APRN
- Family Nurse Practitioner
- Valley, NE
National Provider Identifier
1124536800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2033
- Practice address
- 13535 N 240TH St
Valley, NE 68064-5631 - Phone
- (402) 213-5602
- NPI assigned
- Jan 17, 2018
- Last updated
- Jan 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2033 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VWB LLC | Current | Accepting new patients | |
| House Call Healthcare Omaha | Family | Current | Accepting new patients |
| Premier Urgent Care/Family Care of Nebraska LLC | Current | 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.
-
- Family Nurse Practitioner
- Springfield, NE
- NPI 1467001594
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1619354511
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
- Valley Apothecary
- Valley Chiropractic and Acupuncture, LLC
- Valley Man LLC (Medicine Man Pharmacy)
- Valley Pharmacy Inc (Valley Pharmacy)
- Valley Rural Fire Protection Dist 5 (Valley Fire Protection Dist #5)
- Vogt Pharmacies Inc (Valley Pharmacy)
- Vogt Pharmacies Inc (DBA Valley Long Term Care Pharmacy)
- Chalie Walvoord
- Jana Wiese
- Dawn Young
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.