Individual provider Active NPI

Adrienne McManis, DNP, APRN-NP

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1841014396
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
115705 Issued in NE
Practice address
4920 S 30TH St
Omaha, NE 68107-1590
Phone
(402) 734-4110
Fax
(402) 734-3990
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 115705 NE Primary

Addresses

Primary practice location

4920 S 30TH St
Omaha, NE 68107-1590

Mailing address

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

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
I20250123000918 NE Practitioner - Nurse Practitioner 9739618513 Reassigns benefits to 2 organizations

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
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

4101 S 120TH St
Omaha, NE 68137-1250
Phone (402) 505-3907

4220 L St
Suite 100
Omaha, NE 68107-1048
Phone (402) 733-4433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115705NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oneworld Community Health Centers, Inc. Current Accepting new patients
Alegent Creighton Clinic CurrentSince Dec 16, 2025 Accepting new patients
Oneworld Community Health Centers, Inc. CurrentSince Nov 20, 2024 Accepting new patients
Oneworld Community Health Centers, Inc. CurrentSince Nov 20, 2024 Accepting new patients
Alegent Creighton Clinic PastSince Dec 16, 2025 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Oneworld Community Health Centers, Inc. PastSince Nov 17, 2024 Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

4101 S 120th St
Omaha, NE 68137
Phone (402) 505-3907

4220 L St
Omaha, NE 68107
Phone (402) 717-7050

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

4220 L St
Ste 100
Omaha, NE 68107
Phone (402) 733-4433

4920 S 30th St
Ste 103
Omaha, NE 68107

4220 L St
#100
Omaha, NE 68107
Phone (402) 733-4433

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

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1841014396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 S 30TH ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071656",
            "telephone_number": "402-734-4110",
            "fax_number": "402-734-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 S 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071590",
            "telephone_number": "402-734-4110",
            "fax_number": "402-734-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANIS",
        "first_name": "ADRIENNE",
        "credential": "DNP, APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.