Individual provider Active NPI

Lisa K Kollasch Parker, NP

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1306897863
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110524 Issued in NE
Practice address
17940 Welch PLZ Ste 106
Omaha, NE 68135-3714
Phone
(402) 866-8625
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110524 NE
Nurse Practitioner 363L00000X 110524 NE Primary

Addresses

Primary practice location

17940 Welch PLZ Ste 106
Omaha, NE 68135-3714

Mailing address

17940 Welch PLZ Ste 106
Omaha, NE 68135-3714
Phone (402) 915-1862

Other identifiers 6

IdentifierTypeStateIssuer
236904OtherIAMIDLAND CHOICE FOR IOWA
0458653MedicaidIA
100251147-00MedicaidNE
37715OtherIAWELLMARK FOR IOWA
38588OtherIABCBSNE FOR IOWA
P00201286OtherIARRMEDICARE FOR IOWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041108000158 IA Practitioner - Nurse Practitioner 6103889522 Reassigns benefits to 1 organization
I20050908000348 NE Practitioner - Nurse Practitioner 6103889522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waybridge PCGroup PAC ID 5092230003, 2 clinicians
Nebraska Methodist HospitalGroup PAC ID 6901707447, 132 clinicians
Jennie Edmundson Memorial HospitalGroup PAC ID 9537064837, 59 clinicians

Practice addresses (Care Compare)

17021 Lakeside Hills PLZ
Suite 203
Omaha, NE 68130-2390
Phone (402) 307-6767

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4540

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-6111

Hospital & facility affiliations

  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waybridge PC CurrentSince Feb 20, 2025 Accepting new patients
Jennie Edmundson Memorial Hospital Nurse Practitioner CurrentSince Oct 29, 2025 Accepting new patients
Parker Neuroscience, LLC Nurse Practitioner Current Accepting new patients
Nebraska Methodist Hospital Nurse Practitioner CurrentSince Sep 12, 2016 Accepting new patients
Omaha Joint & Wellness Care CurrentSince Feb 20, 2025 Accepting new patients
Nebraska Heart Institute PC Past Accepting new patients
New Century Physicians of Iowa PC Past Accepting new patients

Locations

808 E Pierce St
Council Bluffs, IA 51503
Phone (712) 396-4340

1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451

17940 Welch Plz
Ste 106
Omaha, NE 68135
Phone (402) 830-7347

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

17021 Lakeside Hills Plz
Ste 203
Omaha, NE 68130
Phone (402) 235-4700

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1306897863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17940 WELCH PLZ STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353714",
            "telephone_number": "402-915-1862",
            "fax_number": "402-817-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 WELCH PLZ STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353714",
            "telephone_number": "402-866-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLASCH PARKER",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110524",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND CHOICE FOR IOWA",
            "identifier": "236904",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0458653",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251147-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK FOR IOWA",
            "identifier": "37715",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNE FOR IOWA",
            "identifier": "38588",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE FOR IOWA",
            "identifier": "P00201286",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.