Individual provider Active NPI

Lori Ann Bratetic, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • South Sioux City, NE
National Provider Identifier
1770258097
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
113738 Issued in NE
Practice address
909 W 21St St
South Sioux City, NE 68776-2652
Phone
(402) 412-4600
NPI assigned
Aug 10, 2021
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 113738 NE Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X G178996 IA

Addresses

Primary practice location

909 W 21St St
South Sioux City, NE 68776-2652

Mailing address

625 Court St
Sioux City, IA 51101-1919
Phone (712) 252-3871

Other practice location 1

625 Court St
Sioux City, IA 51101-1919
Phone (712) 252-3871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 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
I20210923002248 IA Practitioner - Nurse Practitioner 2860899416 Reassigns benefits to 1 organization
I20251007003024 NE Practitioner - Nurse Practitioner 2860899416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midtown Health Center IncGroup PAC ID 9133110182, 14 clinicians

Practice addresses (Care Compare)

302 W Phillip Ave
Norfolk, NE 68701-5248
Phone (402) 370-1064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113738NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Health Center, Inc. CurrentSince Sep 2, 2025 Accepting new patients
Siouxland Mental Health Services, Inc. Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Midtown Health Center, Inc. CurrentSince Sep 2, 2025 Accepting new patients

Locations

4265 Sergeant Rd
Sioux City, IA 51106
Phone 71225238714625

625 Court St
Sioux City, IA 51101
Phone (712) 252-3871

302 W Phillip Ave
Norfolk, NE 68701
Phone (402) 370-1064

909 W 21st St
South Sioux City, NE 68776
Phone (402) 412-4600

Interoperability endpoints

  • Direct secure messaging: lbrateticarnp@hornmh.securechart.com
  • Direct secure messaging: lori.bratetic.d1.p1@direct.midtownhealthcenter.nextgenshare.com

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, 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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1770258097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 COURT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011919",
            "telephone_number": "712-252-3871",
            "fax_number": "877-795-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W 21ST ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687762652",
            "telephone_number": "402-412-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Court St",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511011919",
            "country_code": "US",
            "telephone_number": "712-252-3871",
            "fax_number": "877-795-8039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRATETIC",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "113738",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G178996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

Verify at the official NPI Registry.