Individual provider Active NPI

Carrie Ann Wales, NP

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1467054569
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113352 Issued in NE
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

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medelite Urgent Care L.L.C. Current Accepting new patients
Waybridge PC CurrentSince Feb 11, 2024 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.