Individual provider Active NPI

Sarah Waetzig Miller, APRN

  • Pediatric Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1801096748
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
110864 Issued in NE
Practice address
4920 S 30TH St
Suite 103
Omaha, NE 68107-1590
Phone
(402) 734-4110
Fax
(402) 991-5642
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 110864 NE Primary

Addresses

Primary practice location

4920 S 30TH St
Suite 103
Omaha, NE 68107-1590

Mailing address

4920 S 30TH St
Suite 103
Omaha, NE 68107-1590
Phone (402) 734-4110

Other names 1

  • Sarah Elizabeth Waetzig Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080722000256 NE Practitioner - Nurse Practitioner 9739252941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oneworld Community Health Centers IncGroup PAC ID 3173435153, 56 clinicians

Practice addresses (Care Compare)

2723 Q St
Omaha, NE 68107-3408
Phone (402) 913-2400

3121 U St
Omaha, NE 68107-3378
Phone (402) 933-4968

4215 S 20TH St
Omaha, NE 68107-2018
Phone (402) 932-7014

4310 S 24TH St
Omaha, NE 68107-1805
Phone (402) 502-8880

4910 S 30TH St
Suite 103
Omaha, NE 68107-1519
Phone (402) 734-4110

4920 S 30TH St
Suite 103
Omaha, NE 68107-1656
Phone (402) 734-4110

4930 S 30TH St
Omaha, NE 68107-1521
Phone (402) 734-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oneworld Community Health Centers, Inc. Current Accepting new patients
Oneworld Community Health Centers, Inc. CurrentSince Mar 15, 2010 Accepting new patients
Oneworld Community Health Centers, Inc. Past Accepting new patients

Locations

4920 S 30th St
Ste 103
Omaha, NE 68107

122 S 6th St
Plattsmouth, NE 68048
Phone (402) 296-2345

Interoperability endpoints

  • Direct secure messaging: sarah.miller.p1@direct.oneworldomaha.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1801096748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 S 30TH ST",
            "address_2": "SUITE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071590",
            "telephone_number": "402-734-4110",
            "fax_number": "402-991-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 S 30TH ST",
            "address_2": "SUITE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071590",
            "telephone_number": "402-734-4110",
            "fax_number": "402-991-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SARAH",
        "middle_name": "WAETZIG",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NE",
            "license": "110864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WAETZIG",
            "middle_name": "ELIZABETH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.