Individual provider Active NPI

Sarah Lynn Marie Rawley, DNP, APRN

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1326708330
Registry record updated Dec 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113961 Issued in NE
Practice address
11819 Miracle Hills Dr Ste 203
Omaha, NE 68154-4428
Phone
(402) 996-0250
NPI assigned
Dec 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2021

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 113961 NE Primary

Addresses

Primary practice location

11819 Miracle Hills Dr Ste 203
Omaha, NE 68154-4428

Mailing address

11819 Miracle Hills Dr Ste 203
Omaha, NE 68154-4428
Phone (402) 996-0250

Other names 1

  • Sarah Lynn Marie Regan 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
I20220228001928 NE Practitioner - Nurse Practitioner 5991199333 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113961NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Family Medicine of Bellevue, P.C. CurrentSince Jan 31, 2022 Accepting new patients
Muc-Papillion LLC PastSince Nov 5, 2023 Accepting new patients

Locations

4102 Woolworth Ave
Omaha, NE 68105
Phone (402) 444-7000

Interoperability endpoints

  • Direct secure messaging: sarah.rawley.1@32282.direct.athenahealth.com

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": "1639872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639872000000",
    "number": "1326708330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 MIRACLE HILLS DR STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544428",
            "telephone_number": "402-996-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11819 MIRACLE HILLS DR STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544428",
            "telephone_number": "402-996-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLEY",
        "first_name": "SARAH",
        "middle_name": "LYNN MARIE",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-19",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "REGAN",
            "middle_name": "LYNN MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.