Individual provider Active NPI

Michel L Anderson, APRN

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1699748715
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110637 Issued in NE
Practice address
8814 Maple St
Omaha, NE 68134
Phone
(402) 493-4400
Fax
(402) 493-8965
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 110637 NE Primary

Addresses

Primary practice location

8814 Maple St
Omaha, NE 68134

Mailing address

PO Box 642120
Omaha, NE 68164-8120
Phone (402) 493-4400

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
I20041209000576 NE Practitioner - Nurse Practitioner 5193781235 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
110637NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Mar 25, 2017 Accepting new patients
Premier Urgent Care/Family Care of Nebraska LLC CurrentSince Mar 1, 2025 Accepting new patients
VWB LLC CurrentSince Mar 1, 2025 Accepting new patients
Family Med Center Inc Past Accepting new patients

Locations

4004 N 132nd St
Ste 101
Omaha, NE 68164
Phone (402) 302-2273

7710 Mercy Rd
Ste 202
Omaha, NE 68124
Phone (402) 280-4210

987400 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-3405

2808 S 143rd Plz
Omaha, NE 68144
Phone (321) 223-0225

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Interoperability endpoints

  • Direct secure messaging: manderson48793@direct.nebraskamed.com

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699748715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642120",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681648120",
            "telephone_number": "402-493-4400",
            "fax_number": "402-493-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68134",
            "telephone_number": "402-493-4400",
            "fax_number": "402-493-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHEL",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.