Paul Michael Wilken, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

112259 Issued in NE

Practice address

18651 Webster Cir
Elkhorn, NE 68022-3948

Phone

(531) 272-8322

NPI assigned

Jun 30, 2017

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychnebraska LLCGroup PAC ID 7911439930, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Psychnebraska LLC

  dba PsychNebraska

  • Psychiatric/Mental Health Nurse Practitioner
  • Elkhorn, NE
  • NPI 1023873577
  Medicare reassignment Care Compare group NPD Authorized official
• Therapy Resource Associates, Inc.

  • Counselor
  • Omaha, NE
  • NPI 1306872817
  Medicare reassignment NPD

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1427579374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18651 WEBSTER CIR",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223948",
            "telephone_number": "531-272-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18651 WEBSTER CIR",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223948",
            "telephone_number": "531-272-8322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N 181st St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "NE",
            "postal_code": "680224735",
            "country_code": "US",
            "telephone_number": "531-272-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKEN",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "112259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Weyer, PTA
• Joshua A White
• Kathy Wiekhorst
• Courtney Wight
• Sheilla Wigton
• Bonnie Wilkerson, PA-C
• Amy Jo Williams
• Cassandra Nicole Williams, RN
• Erin Williams, RD
• Jennifer Lynn Williams

• Psychiatric/Mental Health Nurse Practitioner in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.

Verify at the official NPI Registry.