Individual provider Active NPI

Elizabeth H Buschkemper, NP

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1326192758
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110306 Issued in NE
Practice address
4920 S. 30TH St. Suite 103
Oneworld Community Health Center
Omaha, NE 68107
Phone
(402) 734-4110
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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 110306 NE Primary

Addresses

Primary practice location

4920 S. 30TH St. Suite 103
Oneworld Community Health Center
Omaha, NE 68107

Mailing address

4920S 30TH St 103
Omaha, NE 68107-1656
Phone (402) 734-4110

Other names 1

  • Elizabeth H Demond Former name

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
I20080725000361 NE Practitioner - Nurse Practitioner 2668545559 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110306NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oneworld Community Health Centers, Inc. CurrentSince Mar 15, 2010 Accepting new patients

Locations

4920 S 30th St
Ste 103
Omaha, NE 68107

122 S 6th St
Plattsmouth, NE 68048
Phone (402) 296-2345

Organizations & group practices 1

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1326192758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920S 30TH ST 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071656",
            "telephone_number": "402-734-4110",
            "fax_number": "402-734-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 S. 30TH ST. SUITE 103",
            "address_2": "ONEWORLD COMMUNITY HEALTH CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68107",
            "telephone_number": "402-734-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCHKEMPER",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DEMOND",
            "middle_name": "H",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.