NPIMap

Organization Active NPI

Medifast Urgent Care LLC

  • Urgent Care Clinic/Center
  • Omaha, NE
National Provider Identifier
1508633637
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDIFAST URGENT CARE LLC
Practice address
3830 N 167TH CT
Omaha, NE 68116-8064
Phone
(402) 965-4000
Fax
(402) 965-4001
NPI assigned
Dec 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Kristi Jeanne Kranz, APRN
Title
Owner
Phone
(402) 317-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3830 N 167TH CT
Omaha, NE 68116-8064

Mailing address

3830 N 167TH CT
Omaha, NE 68116-8064
Phone (402) 965-4000

Other practice location 1

727 N 120th St
Omaha, NE 68154-4212
Phone (402) 493-2100

Other names 1

  • Midwest Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240312000371 NE Part B Supplier - Clinic/Group Practice 7113363284 Receives reassigned benefits from 9 practitioners
Practice locations: Omaha, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0982366Medifast Urgent Care LLC727 N 120TH Street, Omaha, NE 68154Certificate of waiverNov 30, 2027
28D1070689Midwest Urgent Care, LLC3830 North 167TH Court, Omaha, NE 68116Certificate of waiverApr 30, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1508633637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 N 167TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168064",
            "telephone_number": "402-965-4000",
            "fax_number": "402-965-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 N 167TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168064",
            "telephone_number": "402-965-4000",
            "fax_number": "402-965-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 N 120th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681544212",
            "country_code": "US",
            "telephone_number": "402-493-2100",
            "fax_number": "402-493-2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDIFAST URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "KRANZ",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-317-1008",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.