Active NPI
Alicia Theilen, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
National Provider Identifier
1194179903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 111999
- Practice address
- 14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200 - Phone
- (402) 701-4931
- Fax
- (402) 792-4062
- NPI assigned
- Apr 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 111999 | NE | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 111999 | NE |
Addresses
Primary practice location
14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200
Mailing address
8941 N 170TH St
Bennington, NE 68007-3275
Phone (765) 421-9317
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111999 | NE | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omaha Integrative Care, LLC | Current | Accepting new patients | |
| Resilient Psychiatry | Psychiatric/Mental Health | Current | Accepting new patients |
| At Hope Psychiatry | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
11422 Miracle Hills Dr
Ste 401
Omaha, NE 68154
Phone (402) 590-2590
14301 Fnb Pkwy
Ste 100
Omaha, NE 68154
Phone (402) 706-6894
2126 N 117th Ave
Omaha, NE 68164
Phone (402) 934-1617
Interoperability endpoints
- https://api.platform.athenahealth.com/8127/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Omaha, NE
- NPI 1023302247
-
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
- NPI 1508661687
-
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
- NPI 1669063319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1194179903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8941 N 170TH ST",
"city": "BENNINGTON",
"state": "NE",
"postal_code": "680073275",
"telephone_number": "765-421-9317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14301 FNB PKWY STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681547200",
"telephone_number": "402-701-4931",
"fax_number": "402-792-4062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEILEN",
"first_name": "ALICIA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NE",
"license": "111999",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NE",
"license": "111999",
"primary": false
}
],
"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 Mar 18, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.