Individual provider Active NPI

Miah Wiebelhaus, NP

  • Family Nurse Practitioner
  • Bassett, NE
National Provider Identifier
1275461477
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
116640 Issued in NE
Practice address
101 E South St
Bassett, NE 68714-5508
Phone
(402) 684-2285
Fax
(402) 684-2299
NPI assigned
May 11, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 116640 NE Primary

Addresses

Primary practice location

101 E South St
Bassett, NE 68714-5508

Mailing address

PO Box 377
Stuart, NE 68780-0377
Phone (256) 508-7509

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
I20260604002452 NE Order and Referring Only - Family PracticePractitioner - Family Practice 8527539139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
116640NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Sandhills Family Healthcare, P.C. PastSince May 6, 2026 Accepting new patients
Greater Sandhills Family Healthcare, PC PastSince May 6, 2026 Accepting new patients

Organizations & group practices 2

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": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1275461477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 377",
            "city": "STUART",
            "state": "NE",
            "postal_code": "687800377",
            "telephone_number": "256-508-7509",
            "fax_number": "402-924-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E SOUTH ST",
            "city": "BASSETT",
            "state": "NE",
            "postal_code": "687145508",
            "telephone_number": "402-684-2285",
            "fax_number": "402-684-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBELHAUS",
        "first_name": "MIAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "116640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bassett, NE

Sources for this page

Verify at the official NPI Registry.