Individual provider Active NPI

Carolyn Bevins

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1720443245
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111948 Issued in NE
Practice address
9707 Q St
Omaha, NE 68127-3272
Phone
(800) 253-4368
NPI assigned
Dec 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111948 NE Primary

Addresses

Primary practice location

9707 Q St
Omaha, NE 68127-3272

Mailing address

9707 Q St
Omaha, NE 68127-3272
Phone (800) 253-4368

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
I20160429000980 NE Practitioner - Nurse Practitioner 6901105733 Reassigns benefits to 3 organizations
I20240205000725 IA Practitioner - Nurse Practitioner 6901105733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians
Alegent Health Quick Care LLCGroup PAC ID 3476657370, 6 clinicians
Diversified Mobile PT LLCGroup PAC ID 0547607467, 9 clinicians

Practice addresses (Care Compare)

1288 Valley View LN
Council Bluffs, IA 51503-5456
Phone (712) 328-8800

16909 Lakeside Hills CT
Omaha, NE 68130-4661

5005 S 153Rd St
Suite 100
Omaha, NE 68137-5070
Phone (402) 717-1255

5114 N 137TH St
Omaha, NE 68164-6191
Phone (402) 819-7956

8248 S 96TH St
La Vista, NE 68128-3126
Phone (402) 717-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Dec 19, 2023 Accepting new patients
Alegent Health Quick Care LLC CurrentSince Mar 25, 2016 Accepting new patients
Alegent Creighton Clinic CurrentSince Mar 25, 2016 Accepting new patients
Diversified Mobile PT LLC CurrentSince May 1, 2025 Accepting new patients
Alegent Health Quick Care LLC CurrentSince Mar 25, 2016 Accepting new patients

Locations

3135 W Broadway
Council Bluffs, IA 51501
Phone (712) 242-2040

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

5045 S 153rd St
Omaha, NE 68137
Phone (402) 717-9100

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

9707 Q St
Omaha, NE 68127
Phone (402) 339-3047

5005 S 153rd St
Ste 100
Omaha, NE 68137
Phone (402) 614-1258

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.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1720443245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681273272",
            "telephone_number": "800-253-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681273272",
            "telephone_number": "800-253-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVINS",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.