Individual provider Active NPI

Brandie Edgman, APRN

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1831871292
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
114848 Issued in NE
Practice address
10707 Pacific St Ste 101
Omaha, NE 68114-4762
Phone
(402) 397-7989
NPI assigned
Aug 4, 2023
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 114848 NE Primary

Addresses

Primary practice location

10707 Pacific St Ste 101
Omaha, NE 68114-4762

Mailing address

10707 Pacific St Ste 101
Omaha, NE 68114-4762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231113003204 NE Practitioner - Nurse Practitioner 6204283294 Reassigns benefits to 2 organizations
I20231114000196 IA Practitioner - Nurse Practitioner 6204283294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center PCGroup PAC ID 2961396833, shared by 4 NPIs, 43 clinicians

Practice addresses (Care Compare)

10707 Pacific St
Suite 101
Omaha, NE 68114-4762
Phone (402) 397-7989

3434 W Broadway
102 Urohealth Partners
Council Bluffs, IA 51501-3291
Phone (712) 325-0014

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Center, PC Current Accepting new patients
Urology Center PC Current Accepting new patients
Urology Center PC CurrentSince Jul 1, 2025 Accepting new patients
Adult & Pediatric Urology, PC CurrentSince Oct 1, 2023 Accepting new patients
Urology Center PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

3434 W Broadway
Ste 102
Council Bluffs, IA 51501
Phone (712) 325-0014

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

10707 Pacific St
Ste 101
Omaha, NE 68114
Phone (402) 397-9800

111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178

Interoperability endpoints

  • Direct secure messaging: brandie.edgman.p1@direct.tuc.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1831871292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10707 PACIFIC ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 PACIFIC ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144762",
            "telephone_number": "402-397-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGMAN",
        "first_name": "BRANDIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "114848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.