Individual provider Active NPI

Angela Claborn, APRN

  • Acute Care Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1558719989
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
113121 Issued in NE
Practice address
1299 Farnam St Ste 300
Omaha, NE 68102-1857
Phone
(760) 590-7804
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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 113121 NE Primary

Addresses

Primary practice location

1299 Farnam St Ste 300
Omaha, NE 68102-1857

Mailing address

235 N 3Rd St
Lyons, NE 68038-2587
Phone (760) 590-7804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200803000362 IA Practitioner - Nurse Practitioner 7113211913 Reassigns benefits to 1 organization
I20210727001647 NE Practitioner - Nurse Practitioner 7113211913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Pain Clinic PCGroup PAC ID 5597834291, 9 clinicians

Practice addresses (Care Compare)

631 N 8TH St
Missouri Valley, IA 51555-1102
Phone (402) 391-7246

825 N 90TH St
Omaha, NE 68114-2702
Phone 4023917246138

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesia P.C. CurrentSince Sep 1, 2023 Accepting new patients
Midwest Pain Clinic PC CurrentSince Sep 1, 2025 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Basic Home Infusion, LLC PastSince Sep 1, 2023 Accepting new patients

Locations

631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2045

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

2900 E Elk Ln
Fremont, NE 68025
Phone (402) 721-8895

9850 Nicholas St
Ste 310
Omaha, NE 68114
Phone (402) 502-9877

8814 Maple St
Ste 1
Omaha, NE 68134
Phone (402) 620-6650

825 N 90th St
Omaha, NE 68114
Phone (402) 391-7246

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBJBD
  • FHIR API: https://api.platform.athenahealth.com/8703/brand/1/csg/1/fhir/r4
  • Direct secure messaging: angela.claborn@direct.nmhs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1558719989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N 3RD ST",
            "city": "LYONS",
            "state": "NE",
            "postal_code": "680382587",
            "telephone_number": "760-590-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 FARNAM ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021857",
            "telephone_number": "760-590-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLABORN",
        "first_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "113121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.