Active NPI
Melanie Bussey, APRN
- Nurse Practitioner
- Elkhorn, NE
National Provider Identifier
1659629756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 111407
- Practice address
- 717 N 190TH PLZ
Ste. 1100
Elkhorn, NE 68022-3913 - Phone
- (402) 815-1700
- Fax
- (402) 815-1959
- NPI assigned
- Aug 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 111407 | NE | |
| Nurse Practitioner | 363L00000X | 111407 | NE | Primary |
Addresses
Primary practice location
717 N 190TH PLZ
Ste. 1100
Elkhorn, NE 68022-3913
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026480100 | Medicaid | NE | |
| 47068731799 | Medicaid | NE | |
| 10026301600 | Medicaid | NE | |
| 1689830440 | Medicaid | IA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7205 W Ctr Rd
Suite 200
Omaha, NE 68124-2388
Phone (402) 397-6600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111407 | NE | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-City OB-GYN, P.C. | Current | Accepting new patients | |
| Wood Emergency Medicine Associates PA | Nurse Practitioner | Past | Accepting new patients |
Locations
515 N 162nd Ave
Ste 102
Omaha, NE 68118
Phone (402) 397-6600
7205 W Center Rd
Ste 200
Omaha, NE 68124
Phone (402) 397-6600
Interoperability endpoints
- melanie.bussey@direct.nmhs.org
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Omaha, NE
- NPI 1861578817
-
- Emergency Medicine Physician
- Quitman, TX
- NPI 1427067560
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1659629756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 N 190TH PLZ",
"address_2": "STE. 1100",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680223913",
"telephone_number": "402-815-1700",
"fax_number": "402-815-1959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSEY",
"first_name": "MELANIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-21",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NE",
"license": "111407",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "111407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026480100",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731799",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026301600",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689830440",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.