Eileen Marie Dineen, NP
Individual provider Active NPI Gerontology Nurse Practitioner · Omaha, NE
NPI 1477049013 · NPPES record last updated Jul 6, 2018
Key facts
- NPI
- 1477049013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 112503 (NE)
- Practice address
- 14161 Franklin St
Omaha, NE 68154-3865 - Phone
- (402) 301-1426
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nebraska Methodist Hospital
Practice addresses (Care Compare)
8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4540
Hospital & facility affiliations
- The Nebraska Methodist Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180724000570 | NE | Practitioner - Nurse Practitioner | 2062769920 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current |
Accepting new patients | |
| Methodist Fremont Health | Current |
Accepting new patients | |
| Nebraska Methodist Hospital | Current | Accepting new patients |
Locations
450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610
207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683
8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000
8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104
Interoperability endpoints
- eileen.dineen@direct.nmhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 112503 | NE | Yes |
Addresses
Primary practice location
14161 Franklin St
Omaha, NE 68154-3865
Mailing address
14161 Franklin St
Omaha, NE 68154-3865
Phone (402) 301-1426
Other names
- Eileen Marie Dworak
Other providers in Omaha, NE
- Devin Dean Dimmitt
- Kathryn Dimmitt
- Taryn Dimmitt
- Alyssa Dinapoli
- Erika Dinatale
- Margaret M Dineen
- Molly Dineen
- Araya Dinges
- Bella Dingus
- Lam Dinh
All providers in Omaha, NE · Gerontology Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.