Individual provider Active NPI

Marissa Heuer, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1538246046
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
110774 Issued in NE
Practice address
3940 Cornhusker Hwy Ste 600
Lincoln, NE 68504-1599
Phone
(402) 326-9850
Fax
(402) 477-3655
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 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 110774 NE Primary

Addresses

Primary practice location

3940 Cornhusker Hwy Ste 600
Lincoln, NE 68504-1599

Mailing address

3940 Cornhusker Hwy Ste 600
Lincoln, NE 68504-1599
Phone (402) 326-9850

Other identifiers 1

IdentifierTypeStateIssuer
110774OtherNESTATE LICENSE

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
I20070313000603 NE Practitioner - Nurse Practitioner 9638272594 Practice locations: Lincoln, NE

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3940 Cornhusker Hwy
Suite 600
Lincoln, NE 68504-1599
Phone (402) 326-9850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barry S Berumen Aprn-NP, Pmhnp-BC, LLC Psychiatric/Mental Health Past Accepting new patients
Unmc Physicians Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1538246046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 CORNHUSKER HWY STE 600",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041599",
            "telephone_number": "402-326-9850",
            "fax_number": "402-477-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 CORNHUSKER HWY STE 600",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041599",
            "telephone_number": "402-326-9850",
            "fax_number": "402-477-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUER",
        "first_name": "MARISSA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "110774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "110774",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.