Active NPI
Sarah Waetzig Miller, APRN
- Pediatric Nurse Practitioner
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 110864
- 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
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 |
|---|---|---|---|---|
| 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
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneworld Community Health Centers, Inc. | Current | Accepting new patients | |
| Oneworld Community Health Centers, Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1952330649
-
- Community Health Clinic/Center
- Omaha, NE
- NPI 1538417290
-
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1063725554
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.