Active NPI
Benjamin Bolmeier, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 112752
- Practice address
- 11404 W Dodge Rd Ste 300
Omaha, NE 68154-9603 - Phone
- (402) 898-1113
- NPI assigned
- Feb 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | G153862 | IA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 112752 | NE | Primary |
Addresses
Primary practice location
11404 W Dodge Rd Ste 300
Omaha, NE 68154-9603
Mailing address
11404 W Dodge Rd Ste 300
Omaha, NE 68154-9603
Phone (402) 898-1113
Other practice location 1
801 Harmony St Ste 302
Council Bluffs, IA 51503-3106
Phone (712) 328-2609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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
- University of Missouri, Kansas City, School of Medicine, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7261 Mercy Rd
Omaha, NE 68124-2311
Hospital & facility affiliations
- CHI Health Missouri Valley
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112752 | NE | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Connections, Inc | Current | Accepting new patients | |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | Current | Accepting new patients | |
| Alegent Health Community Memorial Hospital of Missouri Valley Iowa | Current | Accepting new patients |
Locations
1720 N 16th St
Ste K
Council Bluffs, IA 51501
Phone (712) 256-4420
809 Elm St
Missouri Vly, IA 51555
Phone (712) 642-2794
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Missouri Valley, IA
- NPI 1023154176
-
- Case Management Agency
- Council Bluffs, IA
- NPI 1740357300
-
- Rural Health Clinic/Center
- Oakland, IA
- NPI 1366063794
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Missouri Valley, IA
- NPI 1508964123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1689139669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11404 W DODGE RD STE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681549603",
"telephone_number": "402-898-1113",
"fax_number": "402-819-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11404 W DODGE RD STE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681549603",
"telephone_number": "402-898-1113"
}
],
"practiceLocations": [
{
"address_1": "801 Harmony St Ste 302",
"address_purpose": "LOCATION",
"city": "Council Bluffs",
"state": "IA",
"postal_code": "515033106",
"country_code": "US",
"telephone_number": "712-328-2609",
"fax_number": "712-328-9257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLMEIER",
"first_name": "BENJAMIN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-05",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "G153862",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NE",
"license": "112752",
"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 20, 2026; 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.