Active NPI
Vincent Morris
- Nurse Practitioner
- Papillion, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 111904
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47068731721 | Medicaid | NE | |
| 10026480100 | Medicaid | NE | |
| 47068731741 | Medicaid | NE | |
| 47068731734 | Medicaid | NE | |
| 1306214937 | Medicaid | IA | |
| 47068731749 | Medicaid | NE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63244 | NE | MD | Registered Nurse |
| 111904 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan'S Boys' Home | Current | Accepting new patients | |
| Unmc Physicians | Current | 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.
-
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Psychologist
- Boys Town, NE
- NPI 1265405419
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.