Organization Active NPI

Colette Wheeler Aprn PC

  • Psychiatric/Mental Health Registered Nurse
  • Lincoln, NE
National Provider Identifier
1447799325
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
111358 Issued in NE
Legal business name
COLETTE WHEELER APRN PC
Practice address
770 N Cotner Blvd Ste 328
Lincoln, NE 68505-2377
Phone
(402) 202-7273
Fax
(402) 261-5405
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Colette Wheeler, APRNNPI 1316201866
Title
Self
Phone
(402) 202-7273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X 111358 NE Primary

Addresses

Primary practice location

770 N Cotner Blvd Ste 328
Lincoln, NE 68505-2377

Mailing address

770 N Cotner Blvd Ste 328
Lincoln, NE 68505-2344
Phone (402) 202-7273

Other identifiers 1

IdentifierTypeStateIssuer
10026250903MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230329000638 NE Part B Supplier - Clinic/Group Practice 9537533732 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1447799325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD STE 328",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052344",
            "telephone_number": "402-202-7273",
            "fax_number": "402-261-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD STE 328",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052377",
            "telephone_number": "402-202-7273",
            "fax_number": "402-261-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLETTE WHEELER APRN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "402-202-7273",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026250903",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.