Active NPI
Rachael Nicole Bruechert, RN, BSN, AGACNP-BC
- Nurse Practitioner
- Fremont, NE
National Provider Identifier
1366097610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 112868
- Practice address
- 450 E 23Rd St
Fremont, NE 68025-2303 - Phone
- (402) 721-1610
- NPI assigned
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 112868 | NE | Primary |
Addresses
Primary practice location
450 E 23Rd St
Fremont, NE 68025-2303
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other names 1
- Rachael Nicole Coufal
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190909003620 | NE | Practitioner - Nurse Practitioner | 5890024301 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 E 23Rd St
Fremont, NE 68025-2303
Phone (402) 721-1610
Hospital & facility affiliations
- Methodist Fremont Health
- St Francis Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112868 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Fremont Health | Current | Accepting new patients | |
| Physicians Clinic Inc | Nurse Practitioner | Current | Accepting new patients |
| Nebraska Methodist Hospital | Current | Accepting new patients |
Locations
450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610
207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
Interoperability endpoints
- rachael.bruechert@direct.nmhs.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
Hospital & facility affiliations 3
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": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1366097610",
"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": "402-354-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E 23RD ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252303",
"telephone_number": "402-721-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUECHERT",
"first_name": "RACHAEL",
"middle_name": "NICOLE",
"credential": "RN, BSN, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "112868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHAEL",
"last_name": "COUFAL",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.