Individual provider Active NPI

Tawanda C Mercer, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1376773952
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
111023 Issued in NE
Practice address
120 S 24TH St
Omaha, NE 68102-1213
Phone
(402) 942-7007
Fax
(402) 661-7117
NPI assigned
Jul 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 111023 NE Primary

Addresses

Primary practice location

120 S 24TH St
Omaha, NE 68102-1213

Mailing address

7105 Girard St
Omaha, NE 68152-2061

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
I20090825000549 NE Practitioner - Nurse Practitioner 6507911609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Omaha, NE 68114
Phone (402) 575-5577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of NE, Inc CurrentSince Jul 14, 2012 Accepting new patients
Lifespan Counseling Omaha, LLC Psychiatric/Mental Health CurrentSince Oct 24, 2023 Accepting new patients

Locations

8601 W Dodge Rd
Ste 106
Omaha, NE 68114
Phone (402) 205-8603

7929 W Center Rd
Omaha, NE 68124
Phone (402) 342-7007

124 S 24th St
Ste 230
Omaha, NE 68102
Phone (402) 591-5078

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": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1376773952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 GIRARD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021213",
            "telephone_number": "402-942-7007",
            "fax_number": "402-661-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "TAWANDA",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.