Organization Active NPI

Metro Mobile Urgent Care

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1124776174
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
METRO MOBILE URGENT CARE
Practice address
15418 Weir St # 102
Omaha, NE 68137-5045
Phone
(402) 281-3239
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Jeffrey ChinisonNPI 1790377323
Title
Nurse Practitioner
Phone
(402) 281-3239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

15418 Weir St # 102
Omaha, NE 68137-5045

Mailing address

15418 Weir St # 102
Omaha, NE 68137-5045
Phone (402) 281-3239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231006001870 NE Part B Supplier - Clinic/Group Practice 2062867310 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

304 Olson Dr
Ste 115741
Papillion, NE 68046
Phone (402) 281-3239

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1124776174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15418 WEIR ST # 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375045",
            "telephone_number": "402-281-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15418 WEIR ST # 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375045",
            "telephone_number": "402-281-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MOBILE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "CHINISON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "402-281-3239"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.