Individual provider Active NPI

Nichelle R Horton-Brown, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Omaha, NE
National Provider Identifier
1154376267
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
22626 Issued in NE
Practice address
3015 N 90TH St Ste 1
Omaha, NE 68134-4713
Phone
(402) 453-6869
Fax
(402) 961-1055
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 22626 NE Primary

Addresses

Primary practice location

3015 N 90TH St Ste 1
Omaha, NE 68134-4713

Mailing address

3015 N 90TH St Ste 1
Omaha, NE 68134-4713
Phone (402) 453-6869

Other names 1

  • Dr. Nichelle R Horton-Brwon Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080717000782 NE Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Pediatric Medicine 5193898500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Nebraska College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3015 N 90TH St
Suite 1
Omaha, NE 68134-4713
Phone (402) 453-6869

Hospital & facility affiliations

  • CHI Health at Home - Omaha Home health agency, Omaha, NE, CCN 287019
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • Douglas County Health Center Nursing home, Omaha, NE, CCN 285019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Endeveren Family Medicine LLC CurrentSince Feb 8, 2010 Accepting new patients
Douglas County Nebraska CurrentSince Feb 8, 2010 Accepting new patients

Locations

3015 N 90th St
Ste 1
Omaha, NE 68134
Phone (402) 453-6869

4102 Woolworth Ave
Omaha, NE 68105
Phone (402) 444-7000

Interoperability endpoints

  • Direct secure messaging: nichelle.hortonbrown@505597310533636.direct.elationemr.com

Organizations & group practices 2

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 5

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1154376267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 N 90TH ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344713",
            "telephone_number": "402-453-6869",
            "fax_number": "402-453-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 N 90TH ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344713",
            "telephone_number": "402-453-6869",
            "fax_number": "402-961-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON-BROWN",
        "first_name": "NICHELLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NE",
            "license": "22626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHELLE",
            "last_name": "HORTON-BRWON",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.