Milah Miranda Krusemark

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14661 Issued in NE

Practice address

615 E 14TH St
Wayne, NE 68787-1152

Phone

(402) 375-2500

NPI assigned

Mar 3, 2025

Last updated

Sep 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faith Regional Physician Services, LLC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1265489157
  Medicare reassignment Care Compare group NPD
• Faith Regional Physician Services, LLC

  • Anesthesiology Physician
  • Norfolk, NE
  • NPI 1275074577
  NPD

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1225835788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58595 863 RD",
            "city": "WAKEFIELD",
            "state": "NE",
            "postal_code": "687845118",
            "telephone_number": "402-518-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 14TH ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871152",
            "telephone_number": "402-375-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSEMARK",
        "first_name": "MILAH",
        "middle_name": "MIRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "14661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell J Knudsen, DDS
• Cassandra Korth, PHARMD
• Faatimah Kouatli
• Katie Kroenke, ATC
• Robert Kevin Krugman, DC
• Lindsay Ryann Kvols, DNP
• Brittany Lambert
• Madilyn Lange
• Aaron Lemon
• Hannah Joyce Lewison

• Mental Health Counselor in Wayne, NE
• Providers in Wayne, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.