Individual provider Active NPI

Michelle M Placek

  • Acute Care Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1487295580
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
112842 Issued in NE
Practice address
110 N 175TH St Ste 1000
Omaha, NE 68118-3581
Phone
(402) 955-8300
Fax
(402) 955-7310
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 112842 NE Primary

Addresses

Primary practice location

110 N 175TH St Ste 1000
Omaha, NE 68118-3581

Mailing address

PO Box 247037
Omaha, NE 68124-7037
Phone (402) 955-5421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191123000075 NE Practitioner - Nurse Practitioner 2567894926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan'S Boys' Home CurrentSince Nov 4, 2019 Accepting new patients
Children'S Physicians PastSince Oct 6, 2019 Accepting new patients
Nebraska Pediatric Practice, Inc Past Accepting new patients

Locations

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

8200 Dodge St
Omaha, NE 68114
Phone (402) 955-4350

Organizations & group practices 3

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1487295580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247037",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681247037",
            "telephone_number": "402-955-5421",
            "fax_number": "402-955-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 175TH ST STE 1000",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183581",
            "telephone_number": "402-955-8300",
            "fax_number": "402-955-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACEK",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "112842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.