Individual provider Active NPI

Marisa Christine Wieseler, APRN

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1205482403
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
115237 Issued in NE
Practice address
7205 W Center Rd Ste 200
Omaha, NE 68124-2388
Phone
(402) 397-6600
Fax
(402) 397-8318
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11003263 FL
Family Nurse Practitioner 363LF0000X 11003263 FL
Family Nurse Practitioner 363LF0000X 10150 MN
Nurse Practitioner 363L00000X 115237 NE Primary

Addresses

Primary practice location

7205 W Center Rd Ste 200
Omaha, NE 68124-2388

Mailing address

7205 W Center Rd Ste 200
Omaha, NE 68124-2388
Phone (402) 397-6600

Other names 1

  • Ms. Marisa Christine Valdes 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
I20240709000529 NE Practitioner - Nurse Practitioner 7517323462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3105 N 93Rd St
Omaha, NE 68134-4717
Phone (866) 290-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11003263FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-City OB-GYN, P.C. Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients
Carlos Torrellas MD, LLC Nurse Practitioner PastSince Jan 1, 2025 Accepting new patients

Locations

515 N 162nd Ave
Ste 102
Omaha, NE 68118
Phone (402) 397-6600

7205 W Center Rd
Ste 200
Omaha, NE 68124
Phone (402) 397-6600

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.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1205482403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 W CENTER RD STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242388",
            "telephone_number": "402-397-6600",
            "fax_number": "402-397-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 W CENTER RD STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242388",
            "telephone_number": "402-397-6600",
            "fax_number": "402-397-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESELER",
        "first_name": "MARISA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11003263",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003263",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "10150",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "VALDES",
            "middle_name": "CHRISTINE",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.