Individual provider Active NPI

Nitu Maharjan

  • Nurse Practitioner
  • Council Bluffs, IA
National Provider Identifier
1689393308
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A170758 Issued in IA
Practice address
201 Ridge St Ste 206
Council Bluffs, IA 51503-4643
Phone
(712) 396-7460
Fax
(712) 396-7465
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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 A170758 IA Primary

Addresses

Primary practice location

201 Ridge St Ste 206
Council Bluffs, IA 51503-4643

Mailing address

PO Box 2797
Omaha, NE 68103-2797
Phone (402) 354-3370

Other practice location 1

825 S 169th St
Omaha, NE 68118-9300
Phone (402) 354-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221017002085 NE Practitioner - Nurse Practitioner 3678949609 Reassigns benefits to 2 organizations
I20221017002123 IA Practitioner - Nurse Practitioner 3678949609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Iowa LLCGroup PAC ID 6608157086, 2 clinicians
Jennie Edmundson Memorial HospitalGroup PAC ID 9537064837, 59 clinicians

Practice addresses (Care Compare)

801 Harmony St
Council Bluffs, IA 51503-3106
Phone (712) 328-5000

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-6111

Hospital & facility affiliations

  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
  • CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028
  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A170758IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital Current Accepting new patients
Healogics Specialty Physicians of Iowa, LLC CurrentSince Jan 7, 2026 Accepting new patients
Global Open Wound Care Services LLC Nurse Practitioner CurrentSince Sep 7, 2023 Accepting new patients
Healogics Specialty Physicians of Nebraska, LLC Nurse Practitioner CurrentSince Jan 7, 2026 Accepting new patients
Jennie Edmundson Memorial Hospital Nurse Practitioner CurrentSince Oct 14, 2022 Accepting new patients

Locations

201 Ridge St
Ste 206
Council Bluffs, IA 51503
Phone (712) 328-7171

801 Harmony St
Council Bluffs, IA 51503
Phone (712) 328-2609

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

320 Ebaugh St
Glenwood, IA 51534
Phone (712) 527-5204

11820 Standing Stone Dr
Gretna, NE 68028
Phone (402) 332-3903

7710 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6700

6751 N 72nd St
Omaha, NE 68122
Phone (402) 572-2020

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

250 Miron Dr
Ste 120
Southlake, TX 76092

250 Miron Dr
Southlake, TX 76092
Phone (817) 328-3000

Interoperability endpoints

  • Direct secure messaging: nitu.maharjan@direct.nmhs.org

Organizations & group practices 5

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 5

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1689393308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2797",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681032797",
            "telephone_number": "402-354-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIDGE ST STE 206",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034643",
            "telephone_number": "712-396-7460",
            "fax_number": "712-396-7465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 S 169th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681189300",
            "country_code": "US",
            "telephone_number": "402-354-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHARJAN",
        "first_name": "NITU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A170758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.