Raime L Misko, APRN
Individual provider Active NPI Family Nurse Practitioner · Lexington, NE
NPI 1194276782 · NPPES record last updated Oct 18, 2016
Key facts
- NPI
- 1194276782
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 112130 (NE)
- Practice address
- 1201 N Erie St
Lexington, NE 68850-1571 - Phone
- (308) 324-5651
- Fax
- (308) 324-8359
- NPI assigned
- Oct 18, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Vitalize Health LLC
Value Based Long Term Care B PC
Nebraska House Call Physicians PC
Practice addresses (Care Compare)
2200 S 40TH St
Suite 102
Lincoln, NE 68506-2424
Phone (402) 413-0717
3900 Pine Lake Rd
Suite 5
Lincoln, NE 68516-5489
Phone (402) 730-6870
Hospital & facility affiliations
- Bryan Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161026001563 | NE | Practitioner - Nurse Practitioner | 1052699063 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112130 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Based Long Term Care B PC | Current |
Accepting new patients | |
| Nebraska House Call Physicians, P.C. | Current |
Accepting new patients | |
| Vitalize Health LLC | Current |
Accepting new patients |
Locations
1700 Furnas St
Ashland, NE 68003
Phone (402) 758-5800
6030 Village Dr
Ste 100
Lincoln, NE 68516
Phone (402) 413-0717
2200 S 40th St
Ste 102
Lincoln, NE 68506
Phone (402) 405-0500
Interoperability endpoints
- https://api.platform.athenahealth.com/20975/brand/1/csg/1/fhir/r4
- raime.misko.1@20975.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 112130 | NE | Yes |
Addresses
Primary practice location
1201 N Erie St
Lexington, NE 68850-1571
Mailing address
PO Box 980
Lexington, NE 68850-0980
Other providers in Lexington, NE
- Torri McCracken
- Jordon Peter Eugene Messersmith
- Kristina M Messersmith
- Katie M Miller
- Daniel Miranda
- Abdinasir Mohamed
- Christopher Molina
- Larry Dean Moomey
- Lucinda D Moore
- Araceli Morales
All providers in Lexington, NE · Family Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.