Active NPI
Jacob Stawniak, RN
- Psychiatric/Mental Health Registered Nurse
- Omaha, NE
National Provider Identifier
1629924626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 92769
- Practice address
- 8502 Mormon Bridge Rd
Omaha, NE 68152-1929 - Phone
- (402) 991-8523
- Fax
- (402) 991-2077
- NPI assigned
- Mar 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 92769 | NE | Primary |
Addresses
Primary practice location
8502 Mormon Bridge Rd
Omaha, NE 68152-1929
Mailing address
8502 Mormon Bridge Rd
Omaha, NE 68152-1929
Phone (402) 991-8523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92769 | NE | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1629924626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8502 MORMON BRIDGE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681521929",
"telephone_number": "402-991-8523",
"fax_number": "402-991-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8502 MORMON BRIDGE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681521929",
"telephone_number": "402-991-8523",
"fax_number": "402-991-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAWNIAK",
"first_name": "JACOB",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-10",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NE",
"license": "92769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.