Individual provider Active NPI

Julie Zulkosky

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1184214801
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
113454 Issued in NE
Practice address
11404 W Dodge Rd Ste 600
Omaha, NE 68154-2593
Phone
(402) 898-1113
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 113454 NE Primary

Addresses

Primary practice location

11404 W Dodge Rd Ste 600
Omaha, NE 68154-2593

Mailing address

11404 W Dodge Rd Ste 600
Omaha, NE 68154-2593
Phone (402) 898-1113

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
I20210319001222 NE Practitioner - Nurse Practitioner 5991035735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verve Collaborative Health LLCGroup PAC ID 3779811989, 9 clinicians

Practice addresses (Care Compare)

11404 W Dodge Rd
Suite 300
Omaha, NE 68154-9603
Phone (402) 898-1113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vervech Current Accepting new patients
Verve Collaborative Health LLC Single Specialty CurrentSince Mar 1, 2021 Accepting new patients

Locations

11404 W Dodge Rd
Ste 600
Omaha, NE 68154
Phone (402) 699-7229

11404 W Dodge Rd
Ste 300
Omaha, NE 68154
Phone (402) 898-1113

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.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1184214801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11404 W DODGE RD STE 600",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542593",
            "telephone_number": "402-898-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11404 W DODGE RD STE 600",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542593",
            "telephone_number": "402-898-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULKOSKY",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "113454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.