Individual provider Active NPI

Gerardo Guerrero-Segura

  • Psychiatric/Mental Health Nurse Practitioner
  • Council Bluffs, IA
National Provider Identifier
1417637893
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G171158 Issued in IA
Practice address
515 E Broadway
Council Bluffs, IA 51503-4419
Phone
(402) 553-3000
NPI assigned
Jul 20, 2023
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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 G171158 IA Primary

Addresses

Primary practice location

515 E Broadway
Council Bluffs, IA 51503-4419

Mailing address

515 E Broadway
Council Bluffs, IA 51503-4419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230828003342 IA Practitioner - Nurse Practitioner 0446613103 Reassigns benefits to 1 organization
I20230919002024 NE Practitioner - Nurse Practitioner 0446613103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Family ServiceGroup PAC ID 7315833506, shared by 2 NPIs, 14 clinicians
Alegent Creighton HealthGroup PAC ID 1850285255, 137 clinicians

Practice addresses (Care Compare)

2101 S 42ND St
Omaha, NE 68105-2909
Phone (402) 553-3000

515 E Broadway
Council Bluffs, IA 51503-4419
Phone (712) 322-1407

7101 Newport Ave
Omaha, NE 68152-2164
Phone (402) 572-2905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G171158IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Health CurrentSince Nov 1, 2025 Accepting new patients
Heartland Family Service Current Accepting new patients
Heartland Family Service CurrentSince Aug 14, 2023 Accepting new patients
Heartland Family Service CurrentSince Aug 14, 2023 Accepting new patients
Alegent Creighton Health CurrentSince Nov 1, 2025 Accepting new patients
Heartland Family Service CurrentSince Aug 15, 2023 Accepting new patients
Heartland Family Service Current Accepting new patients

Locations

1515 Avenue J
Council Bluffs, IA 51501
Phone (712) 435-5350

515 E Broadway
Council Bluffs, IA 51503
Phone (712) 322-1407

705 N 16th St
Council Bluffs, IA 51501
Phone (712) 256-5640

2771 Solution Ctr
Chicago, IL 60677

2101 S 42nd St
Omaha, NE 68105

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

302 American Pkwy
Papillion, NE 68046
Phone (402) 339-2544

Organizations & group practices 7

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1417637893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034419",
            "telephone_number": "402-553-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO-SEGURA",
        "first_name": "GERARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G171158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.