Individual provider Active NPI

Greg Kuipers

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1760836332
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6613 Issued in IA
Practice address
3517 S 90TH St
Omaha, NE 68124-3801
Phone
(515) 573-3138
NPI assigned
Apr 20, 2016
Last updated
Nov 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6613 IA Primary

Addresses

Primary practice location

3517 S 90TH St
Omaha, NE 68124-3801

Mailing address

3517 S 90TH St
Omaha, NE 68124-3801
Phone (402) 203-4557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181105001293 IA Practitioner - Clinical Social Worker 1850644063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alegent Creighton HealthGroup PAC ID 1850285255, 137 clinicians

Practice addresses (Care Compare)

801 Harmony St
Suite 302
Council Bluffs, IA 51503-3106
Phone (712) 328-2609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6613IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health Community Memorial Hospital of Missouri Valley Iowa CurrentSince May 1, 2022 Accepting new patients
Family Access Center, Inc. Clinical CurrentSince Sep 22, 2018 Accepting new patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa CurrentSince May 1, 2022 Accepting new patients
Alegent Creighton Health CurrentSince Jan 10, 2022 Accepting new patients
Alegent Creighton Health Clinical CurrentSince Jan 10, 2022 Accepting new patients

Locations

801 Harmony St
Ste 302
Council Bluffs, IA 51503
Phone (712) 328-2609

809 Elm St
Missouri Vly, IA 51555
Phone (712) 642-2794

1221 Pierce St
Sioux City, IA 51105
Phone (712) 255-0204

2771 Solution Ctr
Chicago, IL 60677

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1760836332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 S 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243801",
            "telephone_number": "402-203-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 S 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243801",
            "telephone_number": "515-573-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUIPERS",
        "first_name": "GREG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "6613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.