Individual provider Active NPI

Nicole Lynn Burton, APRN

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1669921342
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112122 Issued in NE
Practice address
5401 N 90TH St
Omaha, NE 68134-1803
Phone
(531) 895-7902
NPI assigned
Sep 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 112122 NE Primary

Addresses

Primary practice location

5401 N 90TH St
Omaha, NE 68134-1803

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

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
I20161107000115 NE Practitioner - Nurse Practitioner 6507144953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Cardiac Care, PCGroup PAC ID 2365500311, 3 clinicians
Archwell Health Professional Services PAGroup PAC ID 5395192629, 5 clinicians

Practice addresses (Care Compare)

339 N 78TH St
Omaha, NE 68114-3640
Phone (402) 315-3788

5401 N 90TH St
Archwell Health North 90TH Street
Omaha, NE 68134-1803
Phone (531) 895-7902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Cardiac Care, PC CurrentSince Jan 7, 2019 Accepting new patients
Archwell Health Professional Services, P.a. CurrentSince Oct 31, 2023 Accepting new patients
Unmc Physicians Past Accepting new patients

Locations

339 N 78th St
Omaha, NE 68114
Phone (402) 315-3788

5401 N 90th St
Omaha, NE 68134
Phone (531) 895-7902

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e8483750-562b-433d-9f50-10942f0fbd4f/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEHCCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1669921342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341803",
            "telephone_number": "531-895-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.