Individual provider Active NPI

Vincent Morris

  • Nurse Practitioner
  • Papillion, NE
National Provider Identifier
1306214937
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111904 Issued in NE
Practice address
101 E Centennial Rd
Papillion, NE 68046-2079
Phone
(402) 354-7750
Fax
(402) 354-7760
NPI assigned
Sep 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 63244 NE
Nurse Practitioner 363L00000X 111904 NE Primary

Addresses

Primary practice location

101 E Centennial Rd
Papillion, NE 68046-2079

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100

Other identifiers 6

IdentifierTypeStateIssuer
47068731721MedicaidNE
10026480100MedicaidNE
47068731741MedicaidNE
47068731734MedicaidNE
1306214937MedicaidIA
47068731749MedicaidNE

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
I20151006002572 NE Practitioner - Nurse Practitioner 5092023366 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63244NEMDRegistered Nurse
111904NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan'S Boys' Home CurrentSince Jul 31, 2023 Accepting new patients
Unmc Physicians CurrentSince Oct 30, 2025 Accepting new patients
Father Flanagan'S Boys Home Past Accepting new patients
ENT Services PC Nurse Practitioner Past Accepting new patients

Locations

2959 US Highway 275
Hamburg, IA 51640
Phone 71238215158070

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

14040 Boys Town Hospital Rd
Ste 200
Boys Town, NE 68010
Phone (531) 355-6800

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

139 S 40th St
Omaha, NE 68131
Phone (402) 559-0390

8343 S 168th Ave
Omaha, NE 68136
Phone (402) 552-3739

3685 N 129th St
Omaha, NE 68164
Phone (402) 559-0220

Organizations & group practices 4

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1306214937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-2100",
            "fax_number": "402-354-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E CENTENNIAL RD",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462079",
            "telephone_number": "402-354-7750",
            "fax_number": "402-354-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "63244",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731721",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026480100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731741",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731734",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306214937",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731749",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.