Active NPI
Corri A Stearnes, DNP
- Nurse Practitioner
- Omaha, NE
National Provider Identifier
1417517715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 112821
- Practice address
- 12020 Pacific St
Omaha, NE 68154-3507 - Phone
- (402) 210-2677
- Fax
- (402) 210-2677
- NPI assigned
- Jun 18, 2019
- Last updated
- Dec 5, 2025
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | C175657 | IA | |
| Nurse Practitioner | 363L00000X | CP003069 | SD | |
| Nurse Practitioner | 363L00000X | 26846 | MT | |
| Nurse Practitioner | 363L00000X | 112821 | NE | Primary |
| Nurse Practitioner | 363L00000X | 103322-875 | WI | |
| Nurse Practitioner | 363L00000X | 82817 | KS | |
| Nurse Practitioner | 363L00000X | R55490 | ND | |
| Nurse Practitioner | 363L00000X | 13770817-4405 | UT | |
| Nurse Practitioner | 363L00000X | 470443341 | MI |
Addresses
Primary practice location
12020 Pacific St
Omaha, NE 68154-3507
Mailing address
12020 Pacific St
Omaha, NE 68154-3507
Phone (402) 210-2677
Other names 1
- Dr. Corri A Renner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C175657 | IA | MD | Nurse Practitioner |
| 82817 | KS | MD | Nurse Practitioner |
| 470443341 | MI | MD | Nurse Practitioner |
| 26846 | MT | MD | Nurse Practitioner |
| R55490 | ND | MD | Nurse Practitioner |
| 112821 | NE | MD | Nurse Practitioner |
| CP003069 | SD | MD | Nurse Practitioner |
| 13770817-4405 | UT | MD | Nurse Practitioner |
| 103322-875 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LMMC LLC | Current | Accepting new patients | |
| LMMC Council Bluffs LLLP | Past | Accepting new patients |
Locations
12020 Pacific St
Omaha, NE 68154
Phone (402) 210-2950
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Council Bluffs, IA
- NPI 1861951568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1417517715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12020 PACIFIC ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543507",
"telephone_number": "402-210-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12020 PACIFIC ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543507",
"telephone_number": "402-210-2677",
"fax_number": "402-210-2677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEARNES",
"first_name": "CORRI",
"middle_name": "A",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "C175657",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SD",
"license": "CP003069",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "26846",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "112821",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "103322-875",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "82817",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ND",
"license": "R55490",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "13770817-4405",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "470443341",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORRI",
"last_name": "RENNER",
"middle_name": "A",
"prefix": "DR.",
"credential": "DNP",
"code": "1",
"type": "Former Name"
}
]
}
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 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.