Individual provider Active NPI

Breanne Nichole Pflanz, WHNP-BC

  • Women's Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1205195674
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
111344 Issued in NE
Practice address
10156 S 168TH Ave Ste 3
Omaha, NE 68136-4240
Phone
(402) 659-0537
Fax
(402) 702-1571
NPI assigned
May 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 111344 NE Primary

Addresses

Primary practice location

10156 S 168TH Ave Ste 3
Omaha, NE 68136-4240

Mailing address

10025 S 179TH St
Omaha, NE 68136-1967
Phone (402) 659-0537

Other names 1

  • Miss Breanne Nichole Ruh Former 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422001564 NE Order and Referring Only - Nurse Practitioner 1951600139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111344NEMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1205195674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 S 179TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361967",
            "telephone_number": "402-659-0537",
            "fax_number": "402-702-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10156 S 168TH AVE STE 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681364240",
            "telephone_number": "402-659-0537",
            "fax_number": "402-702-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLANZ",
        "first_name": "BREANNE",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NE",
            "license": "111344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNE",
            "last_name": "RUH",
            "middle_name": "NICHOLE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.