Individual provider Active NPI

Gabriel Philip Dreisbach, APRN

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1821822198
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
115459 Issued in NE
Practice address
11837 Miracle Hills Dr Ste 200
Omaha, NE 68154-4418
Phone
(402) 218-1242
NPI assigned
Aug 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 115459 NE Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 115459 NE
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 115459 NE
General Practice Physician 208D00000X 115459 NE

Addresses

Primary practice location

11837 Miracle Hills Dr Ste 200
Omaha, NE 68154-4418

Mailing address

11837 Miracle Hills Dr Ste 200
Omaha, NE 68154-4418
Phone (402) 218-1242

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
I20250103001930 NE Practitioner - Nurse Practitioner 2567990575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spearcorn Investments, LLCGroup PAC ID 9436685351, 2 clinicians

Practice addresses (Care Compare)

11837 Miracle Hills Dr
Suite 200
Omaha, NE 68154-4418
Phone (402) 214-1242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115459NEMDObesity Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spearcorn Investments, LLC Single Specialty CurrentSince Dec 5, 2024 Accepting new patients
Cornerstone Wound, LLC CurrentSince Oct 21, 2025 Accepting new patients

Locations

11837 Miracle Hills Dr
Ste 200
Omaha, NE 68154
Phone (402) 214-1242

Organizations & group practices 2

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": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1821822198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11837 MIRACLE HILLS DR STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544418",
            "telephone_number": "402-218-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11837 MIRACLE HILLS DR STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544418",
            "telephone_number": "402-218-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREISBACH",
        "first_name": "GABRIEL",
        "middle_name": "PHILIP",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115459",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NE",
            "license": "115459",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NE",
            "license": "115459",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "115459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.