Individual provider Active NPI

Renea Mayfield

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1841175569
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
116266 Issued in NE
Practice address
2429 M St
Omaha, NE 68107-2715
Phone
(402) 731-7333
Fax
(402) 614-5405
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 116266 NE Primary

Addresses

Primary practice location

2429 M St
Omaha, NE 68107-2715

Mailing address

2429 M St
Omaha, NE 68107-2715
Phone (402) 731-7333

Other practice location 1

2419 M St
Omaha, NE 68107-2715
Phone (402) 731-7333

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
I20250911004899 NE Order and Referring Only - Nurse Practitioner 2961905229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116266NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Emergicare, P.C. PastSince Oct 5, 2021 Accepting new patients
Joshua Medical Centers LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: renea.mayfield.2@25093.direct.athenahealth.com

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": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1841175569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 M ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072715",
            "telephone_number": "402-731-7333",
            "fax_number": "402-614-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 M ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072715",
            "telephone_number": "402-731-7333",
            "fax_number": "402-614-5405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2419 M St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681072715",
            "country_code": "US",
            "telephone_number": "402-731-7333",
            "fax_number": "402-614-5405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "RENEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "116266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.