Active NPI
Tawanda C Mercer, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
National Provider Identifier
1376773952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 111023
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Family Services of NE, Inc | Current | Accepting new patients | |
| Lifespan Counseling Omaha, LLC | Psychiatric/Mental Health | Current | 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.
-
- Adult Mental Health Clinic/Center
- Omaha, NE
- NPI 1487312559
Psychiatric/Mental Health
-
- Mental Health Counselor
- Omaha, NE
- NPI 1639121726
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.