Individual provider Active NPI

Mary Onyarin

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1700514965
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
114324 Issued in NE
Practice address
825 S 169TH St
Omaha, NE 68118-9300
Phone
(402) 354-3370
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 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 114324 NE Primary

Addresses

Primary practice location

825 S 169TH St
Omaha, NE 68118-9300

Mailing address

PO Box 2797
Omaha, NE 68103-2797
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
I20221004002386 NE Practitioner - Nurse Practitioner 6406232123 Reassigns benefits to 1 organization
I20221010002465 IA Practitioner - Nurse Practitioner 6406232123 Reassigns benefits to 1 organization

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
Nebraska Methodist HospitalGroup PAC ID 6901707447, 132 clinicians
Jennie Edmundson Memorial HospitalGroup PAC ID 9537064837, 59 clinicians

Practice addresses (Care Compare)

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 343-1122

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

Hospital & facility affiliations

  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114324NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital Current Accepting new patients
Nebraska Methodist Hospital Nurse Practitioner CurrentSince Oct 18, 2022 Accepting new patients
Jennie Edmundson Memorial Hospital Nurse Practitioner CurrentSince Oct 18, 2022 Accepting new patients

Locations

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

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

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

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

Interoperability endpoints

  • Direct secure messaging: mary.onyarin@direct.nmhs.org

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.

Hospital & facility affiliations 2

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1700514965",
    "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": "825 S 169TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681189300",
            "telephone_number": "402-354-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYARIN",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "114324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.