Individual provider Active NPI

Rachel R. Person, APRN

  • Dermatology Physician
  • Omaha, NE
National Provider Identifier
1841673738
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A143690 Issued in IA
Practice address
12910 Pierce St Ste 120
Omaha, NE 68144-1106
Phone
(402) 933-3770
Fax
(402) 933-3633
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A143690 IA Primary

Addresses

Primary practice location

12910 Pierce St Ste 120
Omaha, NE 68144-1106

Mailing address

12910 Pierce St
Suite 120
Omaha, NE 68144-1105
Phone (402) 933-3770

Other practice location 1

928 Valley View Dr Ste 10
Council Bluffs, IA 51503-5288
Phone (402) 933-3770

Other identifiers 2

IdentifierTypeStateIssuer
10026411700MedicaidNE
1841673738MedicaidIA

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
I20150724010834 NE Practitioner - Nurse Practitioner 2668785270 Reassigns benefits to 1 organization
I20161108000831 IA Practitioner - Nurse Practitioner 2668785270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of the Midlands PCGroup PAC ID 5890926786, 7 clinicians

Practice addresses (Care Compare)

1213 Garfield Ave
Harlan, IA 51537-2057
Phone (712) 755-4240

12910 Pierce St
Omaha, NE 68144-1106
Phone (402) 991-6885

12910 Pierce St
Suite 120
Omaha, NE 68144-1105

15805 W Maple Rd
Suite 104
Omaha, NE 68116-8249
Phone (402) 933-3770

2301 Eastern Ave
Red Oak, IA 51566-1300
Phone (712) 623-7270

928 Valley View Dr
Suite 10
Council Bluffs, IA 51503-5288
Phone (402) 933-3770

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic PastSince Oct 23, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rperson150412@uihcdirect.org
  • Direct secure messaging: rachel.person.1@9691.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.

Hospital & facility affiliations 4

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841673738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 PIERCE ST",
            "address_2": "SUITE 120",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681441105",
            "telephone_number": "402-933-3770",
            "fax_number": "402-933-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12910 PIERCE ST STE 120",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681441106",
            "telephone_number": "402-933-3770",
            "fax_number": "402-933-3633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "928 Valley View Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515035288",
            "country_code": "US",
            "telephone_number": "402-933-3770",
            "fax_number": "402-933-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSON",
        "first_name": "RACHEL",
        "middle_name": "R.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "A143690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026411700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841673738",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.