Individual provider Active NPI

Heather Marie Wilhelm, MSN APRNC

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1619035425
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
110696 Issued in NE
Practice address
4206 Woolworth Ave
Omaha, NE 68105-1753
Phone
(402) 880-3988
Fax
(402) 749-8078
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 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 110696 NE Primary

Addresses

Primary practice location

4206 Woolworth Ave
Omaha, NE 68105-1753

Mailing address

4206 Woolworth Ave
Omaha, NE 68105-1753
Phone (402) 880-3988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20050701000620 NE Practitioner - Nurse Practitioner 0244276079 Reassigns benefits to 1 organization
I20120419000146 IA Practitioner - Nurse Practitioner 0244276079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Therapy Place Inc 10 clinicians

Practice addresses (Care Compare)

101 E 22ND St
Atlantic, IA 50022-2879
Phone (712) 254-9018

Hospital & facility affiliations

  • Cass County Memorial Hospital Hospital, Atlantic, IA, CCN 161376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Therapy Group, LLC CurrentSince Apr 23, 2014 Accepting new patients
Therapy Resource Associates, Inc. CurrentSince Jan 15, 2014 Accepting new patients
Acuity Counseling Professionals LLC Past Accepting new patients

Locations

300 W Broadway
Ste 270
Council Bluffs, IA 51503
Phone (712) 256-7511

10824 Old Mill Rd
Ste 21
Omaha, NE 68154
Phone (402) 330-6060

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.

Hospital & facility affiliations 1

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1619035425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 WOOLWORTH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051753",
            "telephone_number": "402-880-3988",
            "fax_number": "402-749-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 WOOLWORTH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051753",
            "telephone_number": "402-880-3988",
            "fax_number": "402-749-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN APRNC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "110696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.