Individual provider Active NPI

Michelle D Brtek-Zwiener, APRN

  • Family Nurse Practitioner
  • Norfolk, NE
National Provider Identifier
1144299041
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110697 Issued in NE
Practice address
809 1/2 S 13TH St
Diabetes and Wellnes Clinic LLC
Norfolk, NE 68701-5753
Phone
(402) 379-9600
Fax
(402) 379-9601
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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 110697 NE Primary

Addresses

Primary practice location

809 1/2 S 13TH St
Diabetes and Wellnes Clinic LLC
Norfolk, NE 68701-5753

Mailing address

809 1/2 S 13TH St
Diabetes and Wellnes Clinic LLC
Norfolk, NE 68701-5753
Phone (402) 379-9600

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
I20100104000584 NE Practitioner - Nurse Practitioner 5092856765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes and Wellness Clinic LLCGroup PAC ID 9638210305, 2 clinicians

Practice addresses (Care Compare)

809 /2 S 13TH St
Norfolk, NE 68701-5753
Phone (402) 379-9600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes and Wellness Clinic LLC CurrentSince Dec 1, 2009 Accepting new patients

Locations

405 W Pearl St
Atkinson, NE 68713
Phone (402) 925-2631

809 S 13th St
Norfolk, NE 68701
Phone (402) 371-0263

Organizations & group practices 1

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 1

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1144299041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 1/2 S 13TH ST",
            "address_2": "DIABETES AND WELLNES CLINIC LLC",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015753",
            "telephone_number": "402-379-9600",
            "fax_number": "402-379-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 1/2 S 13TH ST",
            "address_2": "DIABETES AND WELLNES CLINIC LLC",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015753",
            "telephone_number": "402-379-9600",
            "fax_number": "402-379-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRTEK-ZWIENER",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.