Katie Sunde, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

113295 Issued in NE

Practice address

4920 S 30TH St Ste 103
Omaha, NE 68107-1656

Phone

(402) 734-4110

Fax

(402) 734-3990

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Katie McKernan Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oneworld Community Health Centers IncGroup PAC ID 3173435153, 56 clinicians

Hydr8 LLCGroup PAC ID 1456726884, 18 clinicians

4G Enterprises LLCGroup PAC ID 4789810508, 20 clinicians

Urgent Care Bennington, LLCGroup PAC ID 0446751994, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katie.sunde.p1@direct.charlesdrew.nextgenshare.com
• Direct secure messaging: katie.sunde.p1@direct.oneworldomaha.nextgenshare.com

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.

• Hydr8, LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1922735406

  NE

  Medicare reassignment Care Compare group NPD
• Oneworld Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1952330649

  NE

  Medicare reassignment Care Compare group NPD
• Urgent Care Bennington, LLC

  • Urgent Care Clinic/Center
  • Bennington, NE
  • NPI 1033940879

  NE

  Medicare reassignment Care Compare group NPD
• 4G Enterprises, LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1033544267

  NE

  Medicare reassignment Care Compare group
• Charles Drew Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1255302170

  NE

  Medicare reassignment NPD
• Harlan Medical, LLC

  • Urgent Care Clinic/Center
  • Bellevue, NE
  • NPI 1487089611

  NE

  Medicare reassignment
• Make Medical, LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
  • NPI 1295181022

  NE

  Medicare reassignment
• Bellevue Urgent Care LP

  • Urgent Care Clinic/Center
  • Bellevue, NE
  • NPI 1861632127
  NPD
• Charles Drew Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1215767421
  NPD
• Oneworld Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1982553186
  NPD
• Charles Drew Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1386218212
  NPD (past)
• Oneworld Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1063725554
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1346797792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 S 30TH ST STE 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 STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071656",
            "telephone_number": "402-734-4110",
            "fax_number": "402-734-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDE",
        "first_name": "KATIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113295",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "76766",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MCKERNAN",
            "credential": "KATIE MCKERNAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Macy Sunday
• Erin Alice Sundberg
• Leann Sundberg
• Sandra Sundberg
• Emily Sunde
• Robert R Sundell, M.D.
• Anna C Sunderman, PA-C
• Julie Marie Sunderman, APRN
• Krystal Ann Sunderman, CRNA
• Laura B Sunderman

• Family Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.