Individual provider Active NPI

Megan Muldoon Bockelman, APRN

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1730059593
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
116451 Issued in NE
Practice address
12002 Pacific St
Omaha, NE 68154-3507
Phone
(402) 201-2373
NPI assigned
Nov 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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 116451 NE Primary

Addresses

Primary practice location

12002 Pacific St
Omaha, NE 68154-3507

Mailing address

1311 S 211TH St
Elkhorn, NE 68022-2421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
116451NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trillion Health and Hormone Clinic CurrentSince Nov 9, 2025 Accepting new patients
Fertility Brilliance CurrentSince Nov 9, 2025 Accepting new patients

Locations

1300 37th St
Ste 1
West Des Moines, IA 50266
Phone (515) 255-6808

2455 Pine Lake Rd
Ste 110
Lincoln, NE 68512
Phone (402) 201-2121

12002 Pacific St
Omaha, NE 68154
Phone (402) 201-2373

Organizations & group practices 2

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": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1730059593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S 211TH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543507",
            "telephone_number": "402-201-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDOON BOCKELMAN",
        "first_name": "MEGAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "116451",
            "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 Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.