Individual provider Active NPI

Rojay Passley, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1497321483
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
113747 Issued in NE
Practice address
11404 W Dodge Rd Ste 300
Omaha, NE 68154-9603
Phone
(402) 898-1113
NPI assigned
Jun 1, 2021
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 113747 NE Primary

Addresses

Primary practice location

11404 W Dodge Rd Ste 300
Omaha, NE 68154-9603

Mailing address

11404 W Dodge Rd Ste 300
Omaha, NE 68154-9603
Phone (402) 898-1113

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
I20210820000756 NE Practitioner - Nurse Practitioner 8224433875 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Verve Collaborative Health LLCGroup PAC ID 3779811989, 9 clinicians
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Practice addresses (Care Compare)

11404 W Dodge Rd
Suite 300
Omaha, NE 68154-9603
Phone (402) 898-1113

2 W 42ND St
Scottsbluff, NE 69361-4669
Phone (308) 635-3888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113747NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic CurrentSince Feb 13, 2023 Accepting new patients
RP Therapeutic Psychiatric Services LLC Psychiatric/Mental Health Current Accepting new patients
Mind Over Matter Counseling Services LLC CurrentSince May 1, 2023 Accepting new patients

Locations

4130 S 144th St
Omaha, NE 68137
Phone (402) 505-4148

5410 S 99th St
Omaha, NE 68127
Phone (402) 301-2312

955 N Adams St
Ste 8
Papillion, NE 68046
Phone (402) 339-0506

2 W 42nd St
Ste 3200
Scottsbluff, NE 69361

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

Interoperability endpoints

  • Direct secure messaging: rojay.passley.2@19923.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1497321483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11404 W DODGE RD STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681549603",
            "telephone_number": "402-898-1113",
            "fax_number": "402-819-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11404 W DODGE RD STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681549603",
            "telephone_number": "402-898-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSLEY",
        "first_name": "ROJAY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "113747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.