Nicole Jo Dyer, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

111487 Issued in NE

Practice address

6818 Grover St
Omaha, NE 68106-3640

Phone

(402) 390-2492

NPI assigned

Jul 31, 2013

Last updated

Sep 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Geriatric ServicesGroup PAC ID 4587887088, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Metro Geriatric Services

  dba Metro Geriatrics

  • Geriatric Medicine (Family Medicine) Physician
  • West Des Moines, IA
  • NPI 1174933998

  NE

  Medicare reassignment Care Compare group NPD
• Metro Geriatric Services 2 LLC

  • Geriatric Medicine (Family Medicine) Physician
  • West Des Moines, IA
  • NPI 1629861679
  Medicare reassignment NPD
• Value Based Long Term Care B PC

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1194498808
  NPD
• Behavioral Health of Omaha

  • Community/Behavioral Health Agency
  • Omaha, NE
  • NPI 1518503093
  NPD (past)

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1619309713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 S 90TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242910",
            "telephone_number": "402-201-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 GROVER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063640",
            "telephone_number": "402-390-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "NICOLE",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larue Dyczek, PT
• Ayla Marie Dye
• Abbey Dyer
• Debbie J Dyer
• Emily Dale Dyer
• Payden Dyer
• Robert Dyer
• Shirley Jeannine Dyer
• Kaylee Oakes Dykstal, MD
• Katie Dykstra

• Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.