Individual provider Active NPI

Mariella Di Leo, APRN-NP

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1831978568
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
115030 Issued in NE
Practice address
2255 S 132ND St Ste 100
Omaha, NE 68144-2573
Phone
(402) 614-4969
NPI assigned
Sep 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 115030 NE Primary
Nurse Practitioner 363L00000X A186645 IA
Nurse Practitioner 363L00000X CP003660 SD

Addresses

Primary practice location

2255 S 132ND St Ste 100
Omaha, NE 68144-2573

Mailing address

11807 S 29TH Ave
Bellevue, NE 68123-1453
Phone (631) 235-7111

Other practice location 1

3721 W 13th St Ste A
Grand Island, NE 68803-3205
Phone (308) 210-2205 ext. 20001

Other practice location 2

249 Olson Dr Ste 103
Papillion, NE 68046-2974
Phone (402) 614-4969 ext. 57111

Other practice location 3

2501 Lakeridge Dr Ste 104A
Norfolk, NE 68701-2558
Phone (402) 204-0651 ext. 02205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A186645IAMDNurse Practitioner
115030NEMDNurse Practitioner
CP003660SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LMMC LLC Past Accepting new patients
LMMC Lincoln, LLC Past Accepting new patients

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": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1831978568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11807 S 29TH AVE",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231453",
            "telephone_number": "631-235-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 S 132ND ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442573",
            "telephone_number": "402-614-4969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3721 W 13th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688033205",
            "country_code": "US",
            "telephone_number": "308-210-2205 x20001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "249 Olson Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680462974",
            "country_code": "US",
            "telephone_number": "402-614-4969 x57111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Lakeridge Dr Ste 104A",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687012558",
            "country_code": "US",
            "telephone_number": "402-204-0651 x02205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI LEO",
        "first_name": "MARIELLA",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115030",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A186645",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP003660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.