Individual provider Active NPI

Theresa Oltman, ARNP

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1679823967
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111381 Issued in NE
Practice address
5566 South 56TH
CVS Minute Clinic
Lincoln, NE 68516
Phone
(402) 423-6510
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 131817 IA
Family Nurse Practitioner 363LF0000X 111381 NE Primary

Addresses

Primary practice location

5566 South 56TH
CVS Minute Clinic
Lincoln, NE 68516

Mailing address

5566 South 56TH
CVS Minute Clinic
Lincoln, NE 68516
Phone (402) 423-6510

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
I20140827001105 NE Practitioner - Nurse Practitioner 4981856150 Reassigns benefits to 2 organizations

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
Innovative Community Health Institute LLC 2 clinicians

Practice addresses (Care Compare)

2910 Betten Dr
Crete, NE 68333-3084
Phone (402) 826-2102

4911 N 26TH St
Suite 106
Lincoln, NE 68521-4739
Phone (402) 826-3222

Hospital & facility affiliations

  • Crete Area Medical Center Hospital, Crete, NE, CCN 281354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
131817IAMDFamily Nurse Practitioner

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Innovative Community Health Institute LLC CurrentSince Jan 3, 2023 Accepting new patients
Infinite Medical PC CurrentSince Jul 27, 2025 Accepting new patients

Locations

2855 40th Ave
Columbus, NE 68601
Phone (402) 563-8014

318 W 18th St
#1110
Cozad, NE 69130

2910 Betten Dr
Crete, NE 68333
Phone (402) 826-1191

830 E 1st St
Ste 200
Crete, NE 68333
Phone (402) 433-5129

1405 W US Highway 34
Grand Island, NE 68801
Phone (308) 382-6394

5505 Grover St
Omaha, NE 68106
Phone (402) 558-0225

250 Skillman St
Ste 202
Brooklyn, NY 11205

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1679823967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5566 SOUTH 56TH",
            "address_2": "CVS MINUTE CLINIC",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68516",
            "telephone_number": "402-423-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5566 SOUTH 56TH",
            "address_2": "CVS MINUTE CLINIC",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68516",
            "telephone_number": "402-423-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTMAN",
        "first_name": "THERESA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "131817",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.