Individual provider Active NPI

Debra Kay Coleman

  • Nurse Practitioner
  • Council Bluffs, IA
National Provider Identifier
1376378034
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
124160 Issued in IA
Practice address
1001 Risen Son Blvd
Council Bluffs, IA 51503-1910
Phone
(712) 256-8600
Fax
(712) 256-8599
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 124160 IA
Nurse Practitioner 363L00000X 124160 IA Primary
Nurse Practitioner 363L00000X 115671 NE

Addresses

Primary practice location

1001 Risen Son Blvd
Council Bluffs, IA 51503-1910

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20241029004554 NE Practitioner - Nurse Practitioner 5294268298 Reassigns benefits to 2 organizations
I20241112000982 IA Practitioner - Nurse Practitioner 5294268298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Nebraska College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

312 S 15TH St
Omaha, NE 68102-2207
Phone (402) 354-2273

808 E Pierce St
Methodist Physicians Clinic
Council Bluffs, IA 51503-4652
Phone (712) 396-4360

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124160IAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc Nurse Practitioner CurrentSince Dec 16, 2024 Accepting new patients
Wound Care Plus, LLC CurrentSince Oct 1, 2024 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

1001 Risen Son Blvd
Council Bluffs, IA 51503
Phone (712) 256-8591

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

1100 NW South Outer Rd
Ste 200
Blue Springs, MO 64015
Phone (888) 256-3514

4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

323 S 132nd St
Omaha, NE 68154
Phone (402) 330-4272

312 S 15th St
Omaha, NE 68102
Phone (402) 354-2273

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

7710 Mercy Rd
Ste 130
Omaha, NE 68124
Phone (402) 502-8318

333 Maple St
Sutherland, NE 69165
Phone (308) 386-4393

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.

Hospital & facility affiliations 1

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": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1376378034",
    "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": "402-354-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 RISEN SON BLVD",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031910",
            "telephone_number": "712-256-8600",
            "fax_number": "712-256-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "124160",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "124160",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.