Active NPI
Carrie Ann Wales, NP
- Family Nurse Practitioner
- Lincoln, NE
National Provider Identifier
1467054569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 113352
- Practice address
- 4500 S 70TH St
Suite 117
Lincoln, NE 68516-4283 - Phone
- (402) 235-4701
- NPI assigned
- Nov 12, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 113352 | NE | Primary |
Addresses
Primary practice location
4500 S 70TH St
Suite 117
Lincoln, NE 68516-4283
Mailing address
4500 S 70TH St Ste 117
Lincoln, NE 68516-4283
Phone (402) 235-4701
Other names 1
- Miss Carrie Ann Crossley
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medelite Urgent Care L.L.C. | Current | Accepting new patients | |
| Waybridge PC | Current | Accepting new patients | |
| Medelite Urgent Care L.L.C. | Current | Accepting new patients | |
| LNK Wellness Care and Aesthetics | Current | Accepting new patients |
Locations
1001 S 70th St
Ste 105
Lincoln, NE 68510
Phone (402) 235-4701
17021 Lakeside Hills Plz
Ste 203
Omaha, NE 68130
Phone (402) 235-4700
Interoperability endpoints
- carrie.wales.1@28242.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Lincoln, NE
- NPI 1477270122
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1346940210
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1932885381
-
- Psychiatry Physician
- Omaha, NE
- NPI 1386408383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1467054569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S 70TH ST STE 117",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164283",
"telephone_number": "402-235-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S 70TH ST",
"address_2": "SUITE 117",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164283",
"telephone_number": "402-235-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALES",
"first_name": "CARRIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-12",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "113352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "CROSSLEY",
"middle_name": "ANN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.