NPIMap

Organization Active NPI

Waybridge PC

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1386408383
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WAYBRIDGE PC
Practice address
17021 Lakeside Hills Plaza
Suite 203
Omaha, NE 68130
Phone
(402) 965-1371
NPI assigned
Feb 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Branson Horn
Title
Coo
Phone
(205) 415-0858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

17021 Lakeside Hills Plaza
Suite 203
Omaha, NE 68130

Mailing address

17021 Lakeside Hills PLZ Ste 203
Omaha, NE 68130-2390
Phone (402) 965-1371

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmcfadden@WTP-TN.direct.office.nextgen.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250422002355 NE Part B Supplier - Clinic/Group Practice 5092230003 Receives reassigned benefits from 4 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

17021 Lakeside Hills Plz
Ste 203
Omaha, NE 68130
Phone (402) 235-4700

Interoperability endpoints

  • Direct secure messaging: jmcfadden@wtp-tn.direct.office.nextgen.com

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1386408383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17021 LAKESIDE HILLS PLZ STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302390",
            "telephone_number": "402-965-1371",
            "fax_number": "402-512-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17021 LAKESIDE HILLS PLAZA",
            "address_2": "SUITE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68130",
            "telephone_number": "402-965-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYBRIDGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "BRANSON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "205-415-0858"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcfadden@WTP-TN.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "PMHNP Jena McFadden Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17021 Lakeside Hills Plaza",
            "address_2": "Suite 203",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "68130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.