Active NPI
Diedra Thies
- Family Nurse Practitioner
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 112018
- Practice address
- 1021 N 27TH St
Lincoln, NE 68503-1803 - Phone
- (402) 476-1455
- Fax
- (402) 476-1670
- NPI assigned
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 112018 | NE | Primary |
Addresses
Primary practice location
1021 N 27TH St
Lincoln, NE 68503-1803
Mailing address
1021 N 27TH St
Lincoln, NE 68503-1803
Phone (402) 476-1455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025024300 | Medicaid | NE | |
| 10025024400 | Medicaid | NE |
Other names 1
- Diedra Ann Artz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2727 S 144TH St
Suite 280
Omaha, NE 68144-5252
Phone (402) 745-1145
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112018 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Regional Health Services LLC | Current | Accepting new patients | |
| All Care Health Center | Current | Accepting new patients | |
| Muc-Papillion LLC | Past | Accepting new patients |
Locations
902 S 6th St
Rm A
Council Bluffs, IA 51501
902 S 6th St
Council Bluffs, IA 51501
Phone (712) 256-6583
818 Village Sq
Gretna, NE 68028
Phone (402) 332-4559
2727 S 144th St
Ste 280
Omaha, NE 68144
Phone (402) 745-1145
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4ed2ef3a-53e1-48ef-b364-a16c512d3488/
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.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1831125418
-
- Community/Retail Pharmacy
- Council Bluffs, IA
- NPI 1124461363
-
- Urgent Care Clinic/Center
- Papillion, NE
- NPI 1841159944
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356345318
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1790135481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 N 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685031803",
"telephone_number": "402-476-1455",
"fax_number": "402-476-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 N 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685031803",
"telephone_number": "402-476-1455",
"fax_number": "402-476-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIES",
"first_name": "DIEDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "112018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025024300",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025024400",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIEDRA",
"last_name": "ARTZ",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.