Active NPI
Ian Micheal Pierce, APRN
- Family Nurse Practitioner
- Papillion, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 113771
- Practice address
- 529 Pinnacle Dr
Papillion, NE 68046-6242 - Phone
- (402) 268-1212
- Fax
- (402) 502-9177
- NPI assigned
- Aug 25, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 113771 | NE | |
| Family Nurse Practitioner | 363LF0000X | 113771 | NE | Primary |
Addresses
Primary practice location
529 Pinnacle Dr
Papillion, NE 68046-6242
Mailing address
529 Pinnacle Dr
Papillion, NE 68046-6242
Phone (402) 268-1212
Other practice location 1
14404 Stoney Brook Blvd
Omaha, NE 68137-2613
Phone (402) 979-9635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113771 | Other | NE | APRN STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Florida International Univ, College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6901 N 72ND St
Omaha, NE 68122-1709
Phone (402) 572-2121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113771 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| Emergency Clinicians Associates, LLC | Nurse Practitioner | Current | Accepting new patients |
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| New Century Physicians of Iowa PC | Current | Accepting new patients |
Locations
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500
6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121
11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000
265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549
Organizations & group practices 4
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Omaha, NE
- NPI 1265498661
Nurse Practitioner
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1013916600
-
- Emergency Medicine Physician
- Papillion, NE
- NPI 1063411833
-
- Emergency Medicine Physician
- Council Bluffs, IA
- NPI 1548269301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1790452977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 PINNACLE DR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680466242",
"telephone_number": "402-268-1212",
"fax_number": "402-502-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 PINNACLE DR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680466242",
"telephone_number": "402-268-1212",
"fax_number": "402-502-9177"
}
],
"practiceLocations": [
{
"address_1": "14404 Stoney Brook Blvd",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681372613",
"country_code": "US",
"telephone_number": "402-979-9635",
"fax_number": "402-895-9636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIERCE",
"first_name": "IAN",
"middle_name": "MICHEAL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-25",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "113771",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "113771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN STATE LICENSE",
"identifier": "113771",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.