Individual provider Active NPI

Corri A Stearnes, DNP

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1417517715
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112821 Issued in NE
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
C175657IAMDNurse Practitioner
82817KSMDNurse Practitioner
470443341MIMDNurse Practitioner
26846MTMDNurse Practitioner
R55490NDMDNurse Practitioner
112821NEMDNurse Practitioner
CP003069SDMDNurse Practitioner
13770817-4405UTMDNurse Practitioner
103322-875WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LMMC LLC CurrentSince Apr 13, 2025 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.

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.

Verify at the official NPI Registry.