Individual provider Active NPI

Kimberly K Camp-Grimit, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1659468213
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
110773 Issued in NE
Practice address
18049 Oak St
Omaha, NE 68130-6093
Phone
(402) 850-1488
NPI assigned
Oct 6, 2006
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 110773 NE Primary

Addresses

Primary practice location

18049 Oak St
Omaha, NE 68130-6093

Mailing address

18049 Oak St
Omaha, NE 68130-6093
Phone (402) 850-1488

Other identifiers 1

IdentifierTypeStateIssuer
110773OtherNESTATE 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
I20061027000044 NE Practitioner - Nurse Practitioner 4082611470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camp-Grimit Petersen LLCGroup PAC ID 2264701598, 4 clinicians

Practice addresses (Care Compare)

1406 Fort Crook Rd S
Suite 401
Bellevue, NE 68005-2980
Phone (402) 403-5222

18049 Oak St
Omaha, NE 68130-6093
Phone (402) 403-5222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Camp-Grimit Petersen LLC CurrentSince Mar 17, 2017 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Fremont Health Past Accepting new patients
Lotus Psychotherapy, LLC Past Accepting new patients

Locations

1406 Fort Crook Rd S
Ste 401
Bellevue, NE 68005
Phone (402) 292-7712

18049 Oak St
Omaha, NE 68130
Phone (402) 403-5222

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, 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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1659468213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18049 OAK ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306093",
            "telephone_number": "402-850-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18049 OAK ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306093",
            "telephone_number": "402-850-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP-GRIMIT",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "110773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "110773",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.