Active NPI
Kelsey Gard
- Family Nurse Practitioner
- Omaha, NE
National Provider Identifier
1467385492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 116959
- Practice address
- 12002 Pacific St
Omaha, NE 68154-3507 - Phone
- (402) 201-2373
- NPI assigned
- Jun 8, 2026
- 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 | 116959 | NE | Primary |
Addresses
Primary practice location
12002 Pacific St
Omaha, NE 68154-3507
Mailing address
1824 Mayfair Dr
Omaha, NE 68144-1050
Phone (402) 981-3142
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fertility Brilliance | Past | Accepting new patients | |
| Trillion Health and Hormone Clinic | Past | Accepting new patients |
Organizations & group practices 2
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
- Omaha, NE
- NPI 1942007125
-
- General Practice Physician
- Omaha, NE
- NPI 1013576057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1467385492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 MAYFAIR DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681441050",
"telephone_number": "402-981-3142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12002 PACIFIC ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543507",
"telephone_number": "402-201-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARD",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "116959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.