Individual provider Active NPI

Tiffany Ann Bartek, DNP FNP-C

  • Primary Care Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1518700475
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
115426 Issued in NE
Practice address
2727 S 144TH St Ste 280
Omaha, NE 68144-5252
Phone
(402) 745-1145
NPI assigned
Jun 17, 2024
Last updated
Jun 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 115426 NE Primary

Addresses

Primary practice location

2727 S 144TH St Ste 280
Omaha, NE 68144-5252

Mailing address

15092 Butler Ave
Omaha, NE 68116-1462
Phone (402) 290-8975

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
I20240827003486 NE Practitioner - Nurse Practitioner 4688113277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Regional Health Services LLCGroup PAC ID 2567454564, 13 clinicians

Practice addresses (Care Compare)

2727 S 144TH St
Suite 280
Omaha, NE 68144-5252
Phone (402) 745-1145

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115426NEMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Regional Health Services LLC CurrentSince Jun 17, 2024 Accepting new patients
The Wellness Place PC PastSince Jun 17, 2024 Accepting new patients

Locations

818 Village Sq
Gretna, NE 68028
Phone (402) 332-4559

2727 S 144th St
Ste 280
Omaha, NE 68144
Phone (402) 745-1145

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4ed2ef3a-53e1-48ef-b364-a16c512d3488/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1518700475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15092 BUTLER AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681161462",
            "telephone_number": "402-290-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 280",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445252",
            "telephone_number": "402-745-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTEK",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "DNP FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "115426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.